Barry E. Booth, D.D.S., M.S.
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Homer Glen, IL
NPI 1740329093 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1740329093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- BARRY E. BOOTH, D.D.S., M.S.
- Practice address
- 12635 W 143Rd St
Homer Glen, IL 60491-8381 - Phone
- (708) 301-0005
- Fax
- (708) 301-0063
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Barry E. Booth, D.D.S., M.S.
- Title
- President
- Phone
- (708) 301-0005
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | IL | Yes |
Addresses
Primary practice location
12635 W 143Rd St
Homer Glen, IL 60491-8381
Mailing address
12635 W 143Rd St
Homer Glen, IL 60491-8381
Phone (708) 301-0005
Other providers in Homer Glen, IL
- Sunitha R Avula
- Axiom Monitoring Services, LLC
- Paul Tobin Balaskas
- Rachel Ballantine
- Rosaura Banda
- Cassidy K Battista
- Barbara A Bayer
- Be Well Physical Therapy and Wellness Inc.
- Esma Bebo
- William R Bell
All providers in Homer Glen, IL · Orthodontics and Dentofacial Orthopedics Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.