| Michael W. Barba | |
|
1453 4th St Se Suite A Mason City IA 50401-4437 | |
| (641) 423-2172 | |
| (641) 421-4166 |
| Full Name | Michael W. Barba |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1453 4th St Se, Mason City, Iowa |
| Authorized Official Name and Position | Michael Wayne Barba (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 6414232172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W. Barba 1453 4th St Se Suite A Mason City IA 50401-4437 Ph: (641) 423-2172 | Michael W. Barba 1453 4th St Se Suite A Mason City IA 50401-4437 Ph: (641) 423-2172 |
| NPI Number | 1114009255 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114009255 | NPI | - | NPPES |
| 0456699 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7089 (Iowa) | Primary |
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