Samuel J. Barther, DDS
Individual provider Active NPI Dentist · Independence, OH
NPI 1194915694 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1194915694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30-020252 (OH)
- Practice address
- 6573 Brecksville Rd
Independence, OH 44131-4897 - Phone
- (216) 524-1890
- Fax
- (216) 524-3590
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-020252 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel J. Barther D.D.S., Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-020252 | OH | Yes |
Addresses
Primary practice location
6573 Brecksville Rd
Independence, OH 44131-4897
Mailing address
6573 Brecksville Rd
Independence, OH 44131-4897
Phone (216) 524-1890
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.