Thomas F Barberio, D.M.D.
Individual provider Active NPI Dentist · Muncy, PA
NPI 1619204716 · NPPES record last updated Nov 10, 2009
Key facts
- NPI
- 1619204716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DL027966 (PA)
- Practice address
- 42 S Main St
Muncy, PA 17756-1307 - Phone
- (570) 546-3419
- Fax
- (570) 546-7172
- NPI assigned
- Nov 10, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602000493 | PA | Order and Referring Only - Oral Surgery |
1658692785 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL027966 | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL027966 | PA | Yes |
Addresses
Primary practice location
42 S Main St
Muncy, PA 17756-1307
Mailing address
42 S Main St
Muncy, PA 17756-1307
Phone (570) 546-3419
Other providers in Muncy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.