| Chad W. Barber, Dds, Pc | |
|
9331 N Lilley Rd Plymouth MI 48170-4609 | |
| (734) 453-8650 | |
| (734) 453-8653 |
| Full Name | Chad W. Barber, Dds, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9331 N Lilley Rd, Plymouth, Michigan |
| Authorized Official Name and Position | Chad William Barber (PRESIDENT/OWNER) |
| Authorized Official Contact | 7344538650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad W. Barber, Dds, Pc 9331 N Lilley Rd Plymouth MI 48170-4609 Ph: (734) 453-8650 | Chad W. Barber, Dds, Pc 9331 N Lilley Rd Plymouth MI 48170-4609 Ph: (734) 453-8650 |
| NPI Number | 1134611122 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 3173580388 |
|---|---|
| Medicare Enrollment ID | O20041220000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134611122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901016770 (Michigan) | Primary |
| Provider Name | Chad W Barber |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487602140 PECOS PAC ID: 0446217657 Enrollment ID: I20041220000097 |
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