Individual
BARRY W. CATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1515 S NOVA RD, DAYTONA BEACH, FL 32114-5815
(386) 947-9318
(386) 947-4594
Mailing address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63820
BCBS
FL
01
—
677922
UNITED CONCORDIA
FL
Enumeration date
09/12/2006
Last updated
11/15/2011
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