Provider Demographics
NPI:1447248919
Name:BARCLAY & FERSING INC
Entity type:Organization
Organization Name:BARCLAY & FERSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:AJA
Authorized Official - Last Name:HOUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:802-862-8625
Mailing Address - Street 1:27 N WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-3312
Mailing Address - Country:US
Mailing Address - Phone:802-862-8625
Mailing Address - Fax:802-862-1993
Practice Address - Street 1:27 N WILLARD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-3312
Practice Address - Country:US
Practice Address - Phone:802-862-8625
Practice Address - Fax:802-862-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1000181Medicaid