Provider Demographics
NPI:1194942581
Name:TIMOTHY S. BARLOW, DDS, PA
Entity type:Organization
Organization Name:TIMOTHY S. BARLOW, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-859-5459
Mailing Address - Street 1:515 KEISLER DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-7097
Mailing Address - Country:US
Mailing Address - Phone:919-859-5459
Mailing Address - Fax:919-859-9818
Practice Address - Street 1:515 KEISLER DR
Practice Address - Street 2:SUITE 204
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7097
Practice Address - Country:US
Practice Address - Phone:919-859-5459
Practice Address - Fax:919-859-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC63141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7990410Medicaid
NC90410OtherBCBS (FEP)
NC9124OtherDELTA DENTAL OF NJ
NC626115OtherUNITED CONCORDIA
NC4083214OtherBCBS OF TN
NC283557OtherBCBS OF MA