Provider Demographics
NPI:1992098727
Name:BARBERI, BIBIANA TELKA (DMD)
Entity type:Individual
Prefix:DR
First Name:BIBIANA
Middle Name:TELKA
Last Name:BARBERI
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 1:1400 BOLTON VALLEY ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VT
Mailing Address - Zip Code:05477-4482
Mailing Address - Country:US
Mailing Address - Phone:352-665-1916
Mailing Address - Fax:
Practice Address - Street 1:157 TOWNE AVE
Practice Address - Street 2:THE HEALTH CENTER
Practice Address - City:PLAINFIELD
Practice Address - State:VT
Practice Address - Zip Code:05667-9425
Practice Address - Country:US
Practice Address - Phone:802-454-8336
Practice Address - Fax:802-322-0713
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN193191223G0001X
VT016.00873291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice