Provider Demographics
NPI:1992837322
Name:GALBREATH, BARBARA K (DMD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:K
Last Name:GALBREATH
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 1:185 ASYLUM ST
Mailing Address - Street 2:CITYPLACE CONCOURSE LEVEL
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-3408
Mailing Address - Country:US
Mailing Address - Phone:860-275-6490
Mailing Address - Fax:860-275-6494
Practice Address - Street 1:185 ASYLUM ST
Practice Address - Street 2:CITYPLACE CONCOURSE LEVEL
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-3408
Practice Address - Country:US
Practice Address - Phone:860-275-6490
Practice Address - Fax:860-275-6494
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT50941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice