AVIS LORRAINE BARKER D.M.D. NPI 1003007352

Dentist in Granger, IN

About AVIS BARKER

Avis Barker is a provider in Granger, IN. The NPI number assigned to this provider is 1003007352. The practitioner's primary taxonomy code is Dentist (122300000X). The provider is registered as an individual and their NPI record was last updated 8 years ago. Avis Barker is registered with Medicare.

NPI1003007352 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name AVIS LORRAINE BARKER D.M.D.
Provider Location Address50648 WEEPING WILLOW RUN E GRANGER, IN 46530 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address50648 WEEPING WILLOW RUN E GRANGER, IN 46530 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-12-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

AVIS LORRAINE BARKER D.M.D.
50648 WEEPING WILLOW RUN E
GRANGER, IN
ZIP 46530
Phone: (765) 532-7019
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Mailing Address

AVIS LORRAINE BARKER D.M.D.
50648 WEEPING WILLOW RUN E
GRANGER, IN
ZIP 46530
Phone: (765) 532-7019

Primary Taxonomy

Taxonomy Code122300000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
License No.12011066A
License StateIN
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11223G0001XDental ProvidersDentistGeneral Practice21957MANo

Taxonomy Description: a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Map Location


AVIS LORRAINE BARKER D.M.D. address is 50648 WEEPING WILLOW RUN E GRANGER, IN 46530