Provider Demographics
NPI:1588050330
Name:DR. BARRY S. COLE, DDS, PA
Entity type:Organization
Organization Name:DR. BARRY S. COLE, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-473-3010
Mailing Address - Street 1:1560 HIGHWAY 287 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8824
Mailing Address - Country:US
Mailing Address - Phone:817-473-3010
Mailing Address - Fax:817-473-1888
Practice Address - Street 1:1560 HIGHWAY 287 N
Practice Address - Street 2:SUITE 100
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8824
Practice Address - Country:US
Practice Address - Phone:817-473-3010
Practice Address - Fax:817-473-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX166891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty