Provider Demographics
NPI:1396157129
Name:BARBERA, ELIZABETH K (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:K
Last Name:BARBERA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 PERRY CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2143
Mailing Address - Country:US
Mailing Address - Phone:414-510-0763
Mailing Address - Fax:
Practice Address - Street 1:1080 US HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7004
Practice Address - Country:US
Practice Address - Phone:303-465-2341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7245-151223G0001X
CO203566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice