MEDICARE: DR. JUSTIN SCOTT BARBER 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	122300000X	Dentist	21504	TX

General Provider Information

NPI Number	:	1922217439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN SCOTT BARBER D.D.S.

Provider Business Mailing Address
First Line	:	3029 INDEPENDENCE DR STE 100
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-4474
Country	:	US
Telephone Number	:	830-625-7611
Fax Number	:	830-625-7691

Provider Business Practice Location Address
First Line	:	3029 INDEPENDENCE DR STE 100
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-4474
Country	:	US
Telephone Number	:	830-625-7611
Fax Number	:	830-625-7691

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/17/2021

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