Provider Demographics
NPI:1255369799
Name:BARR, ALAN SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:SCOTT
Last Name:BARR
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 1:555 NEWFIELD AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3330
Mailing Address - Country:US
Mailing Address - Phone:203-324-9800
Mailing Address - Fax:203-316-8106
Practice Address - Street 1:555 NEWFIELD AVE
Practice Address - Street 2:SUITE F
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3330
Practice Address - Country:US
Practice Address - Phone:203-324-9800
Practice Address - Fax:203-316-8106
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7578-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist