HARGROW DEXTER BARBER DDS NPI 1003804279

NPI Information

NPI: 1003804279
Provider Name: HARGROW DEXTER BARBER, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
100 E LEHIGH AVE
PHILADELPHIA, PA
ZIP 19125
Phone: (215) 707-3613
Get Directions

Hargrow Dexter Barber, DDS is an oral and maxillofacial surgery dentist in Philadelphia, PA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Hargrow Dexter Barber, DDS NPI is 1003804279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 E LEHIGH AVE
PHILADELPHIA, PA
ZIP 19125-000
Phone: (215) 707-3613
Fax: (215) 707-5405

The NPI 1003804279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/11/2005 and was last updated on 7/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	22DI020061	NEW JERSEY	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS027665L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5530504	MEDICAID	NEW JERSEY
2	087416NKY	MEDICARE PIN	NEW JERSEY
3	T96937	MEDICARE UPIN	PENNSYLVANIA
4	087416ANO	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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