Gary Barker, DMD
Individual provider Active NPI Dentist · Pooler, GA
NPI 1497965685 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1497965685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN014668 (GA)
- Practice address
- 276 Pooler Pkwy Ste a
Pooler, GA 31322-5163 - Phone
- (207) 737-9660
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DN014668 | GA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3088 | ME | |
| Dentist | 122300000X | DN014668 | GA | Yes |
Addresses
Primary practice location
276 Pooler Pkwy Ste a
Pooler, GA 31322-5163
Mailing address
276 Pooler Pkwy Ste a
Pooler, GA 31322-5163
Phone (207) 737-9660
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. 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.