MEDICARE: DANIEL D. BARRY, D.M.D., M.D.S.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	12650	FL

General Provider Information

NPI Number	:	1295851418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL D. BARRY, D.M.D., M.D.S.

Provider Business Mailing Address
First Line	:	3051 HIGHLAND OAKS TER
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3841
Country	:	US
Telephone Number	:	850-656-3917
Fax Number	:

Provider Business Practice Location Address
First Line	:	3051 HIGHLAND OAKS TER
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3841
Country	:	US
Telephone Number	:	850-656-3917
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTISTS
Name	:	DR. DANIEL D BARRY
Credential	:	D.M.D., M.D.S.
Telephone Number	:	850-656-3917

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	10/15/2007

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