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NPI Code Detail

MEDICARE: DR. BARBARA POPEK

MEDICARE: DR. BARBARA POPEK
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
11223G0001XGeneral Practice DentistryDN24498FL
21223P0300XPeriodontics19142MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740320993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA POPEK
Provider Business Mailing Address
First Line : 86 PLEASANT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01609-3204
Country : US
Telephone Number : 508-798-0627
Fax Number :
Provider Business Practice Location Address
First Line : 7608 CAUSEWAY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33619-5912
Country : US
Telephone Number : 813-397-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 10/14/2019

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