Individual
GARY ALLEN BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
347 W SPRING ST, CADIZ, OH 43907-1045
(740) 942-3311
(740) 942-2284
Mailing address
347 W SPRING ST, P.O. BOX 292, CADIZ, OH 43907-1045
(740) 942-3311
(740) 942-2284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-5723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372494
—
OH
01
—
30-01-5723
OHIO DENTAL LICENSE
OH
Enumeration date
08/09/2006
Last updated
07/09/2007
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