MEDICARE: EVA BARBER DMD

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	1223G0001X	General Practice Dentistry	11233	KY
2	1223G0001X	General Practice Dentistry	12461	TN

General Provider Information

NPI Number	:	1356182190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA BARBER DMD

Provider Business Mailing Address
First Line	:	2821 ENGLEWOOD AVE
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1130
Country	:	US
Telephone Number	:	423-489-3257
Fax Number	:

Provider Business Practice Location Address
First Line	:	3564 WILLOW WAY
Second Line	:
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-8984
Country	:	US
Telephone Number	:	502-955-1606
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	03/04/2026

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Directions to “ EVA BARBER DMD” Practice Location

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