Provider Demographics
NPI:1528056728
Name:ARGINTAR, BARRY C (DDS)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:C
Last Name:ARGINTAR
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 1:9001 DIGGES RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4421
Mailing Address - Country:US
Mailing Address - Phone:703-361-2200
Mailing Address - Fax:703-331-5557
Practice Address - Street 1:9001 DIGGES RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4421
Practice Address - Country:US
Practice Address - Phone:703-361-2200
Practice Address - Fax:703-331-5557
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010055731223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008017433Medicaid
VA00X779B01Medicare PIN
VA008017433Medicaid