Provider Demographics
NPI:1699124065
Name:BARBER, SHAYLA MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAYLA
Middle Name:MARIE
Last Name:BARBER
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 1:614 S FLORISSANT RD
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2948
Mailing Address - Country:US
Mailing Address - Phone:314-522-6300
Mailing Address - Fax:
Practice Address - Street 1:614 S FLORISSANT RD
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-2948
Practice Address - Country:US
Practice Address - Phone:314-522-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016018477122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist