Individual
MATTHEW BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8515
(314) 814-8542
Mailing address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 814-8582
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011014524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011014524
—
MO
Enumeration date
06/06/2011
Last updated
03/12/2013
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