Provider Demographics
NPI:1992803803
Name:BARBOUR, WILLIAM E (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:BARBOUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-3801
Mailing Address - Country:US
Mailing Address - Phone:207-594-5599
Mailing Address - Fax:207-596-6359
Practice Address - Street 1:1060 COMMERCIAL ST
Practice Address - Street 2:GLEN COVE DENTAL ASSOCIATES PA
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-3801
Practice Address - Country:US
Practice Address - Phone:207-594-5500
Practice Address - Fax:207-596-6349
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME22731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME244300099Medicaid
ME2273OtherDENTAL LICENSE
ME2273OtherDENTAL LICENSE