MEDICARE: DR. BAN R BARBAT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2901016308	MI

General Provider Information

NPI Number	:	1295793206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BAN R BARBAT DDS

Provider Business Mailing Address
First Line	:	6044 24 MILE RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-3201
Country	:	US
Telephone Number	:	586-739-2155
Fax Number	:	586-739-3663

Provider Business Practice Location Address
First Line	:	6044 24 MILE RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-3201
Country	:	US
Telephone Number	:	586-551-7255
Fax Number	:	586-739-3663

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	04/17/2025

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