Provider Demographics
NPI:1891748422
Name:BARRY S. PINSKY DDS, & ELLEN B. FOLBE DDS, PC
Entity type:Organization
Organization Name:BARRY S. PINSKY DDS, & ELLEN B. FOLBE DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FOLBE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-573-6677
Mailing Address - Street 1:12500 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-3518
Mailing Address - Country:US
Mailing Address - Phone:586-573-6677
Mailing Address - Fax:586-573-6680
Practice Address - Street 1:12500 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3518
Practice Address - Country:US
Practice Address - Phone:586-573-6677
Practice Address - Fax:586-573-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI9870122300000X
MI16341122300000X
MI29010181411223G0001X
MI29010190301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Single Specialty
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty