MEDICARE: DR. ILIAN BARBER D.M.D

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	122300000X	Dentist	D009714	AZ

General Provider Information

NPI Number	:	1841711611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ILIAN BARBER D.M.D

Provider Business Mailing Address
First Line	:	4845 E THUNDERBIRD RD STE 3
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-3539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4845 E THUNDERBIRD RD STE 3
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-3539
Country	:	US
Telephone Number	:	602-996-1660
Fax Number	:

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

Provider Enumeration Date	:	07/03/2017
Last Update Date	:	03/30/2020

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