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NPI Code Detail

MEDICARE: BARBARA W HYMER DDS

MEDICARE: BARBARA W HYMER 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
11223P0221XPediatric Dentistry6792CO

General Provider Information

NPI Number : 1760474027
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA W HYMER DDS
Provider Business Mailing Address
First Line : 8749 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-0907
Country : US
Telephone Number : 303-424-5463
Fax Number : 303-424-4830
Provider Business Practice Location Address
First Line : 8749 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-0907
Country : US
Telephone Number : 303-424-5463
Fax Number : 303-424-4830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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