Provider Demographics
NPI:1962929927
Name:BARNABEI, TABITHA RICHARDS (DMD)
Entity type:Individual
Prefix:DR
First Name:TABITHA
Middle Name:RICHARDS
Last Name:BARNABEI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2178
Mailing Address - Country:US
Mailing Address - Phone:302-373-3583
Mailing Address - Fax:
Practice Address - Street 1:3855 W CHESTER PIKE # 225
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2304
Practice Address - Country:US
Practice Address - Phone:302-373-3583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026881001223X0400X
PADS0411601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics