Larry Lee Barlow, DDS
Individual provider Active NPI Dentist · Milan, IN
NPI 1720194467 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720194467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12007215 (IN)
- Practice address
- 301 North Warpath Dr
Milan, IN 47031 - Phone
- (812) 654-2951
- Fax
- (812) 654-3069
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 12007215 | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoosier Dental Care LLC | Dentist | Past | Accepting new patients |
| Brian T. Lee, DDS, LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12007215 | IN | Yes |
Addresses
Primary practice location
301 North Warpath Dr
Milan, IN 47031
Mailing address
PO Box 306
301 North Warpath Dr
Milan, IN 47031
Phone (812) 654-2951
Other providers in Milan, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.