MEDICARE: DR. BARBARA J URBANO D.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	1223G0001X	General Practice Dentistry	DS023478L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DS023478L	OTHER	PA	DENTAL LICENSE

General Provider Information

NPI Number	:	1659301018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA J URBANO D.D.S.

Provider Business Mailing Address
First Line	:	233 S TROOPER RD
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-1665
Country	:	US
Telephone Number	:	610-539-7100
Fax Number	:	610-631-5521

Provider Business Practice Location Address
First Line	:	233 SOUTH TROOPER RD
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-1665
Country	:	US
Telephone Number	:	610-539-7100
Fax Number	:	610-631-5521

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/08/2007

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