Provider Demographics
NPI:1194915694
Name:BARTHER, SAMUEL J (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:J
Last Name:BARTHER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6573 BRECKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-4897
Mailing Address - Country:US
Mailing Address - Phone:216-524-1890
Mailing Address - Fax:216-524-3590
Practice Address - Street 1:6573 BRECKSVILLE RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-4897
Practice Address - Country:US
Practice Address - Phone:216-524-1890
Practice Address - Fax:216-524-3590
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-020252122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist