Organization
BARRY SPORER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SENIOR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
80 PARK AVENUE, STE 1C, NEW YORK, NY 10016-2542
(212) 697-5988
(212) 986-8305
Mailing address
80 PARK AVENUE, STE 1C, NEW YORK, NY 10016-2542
(212) 697-5988
(212) 986-8305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
05/08/2025
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