Provider Demographics
NPI:1710016068
Name:WEXLER, BARRY H (DDS)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:H
Last Name:WEXLER
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 1:1314 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17003-1611
Mailing Address - Country:US
Mailing Address - Phone:717-867-4687
Mailing Address - Fax:717-867-1701
Practice Address - Street 1:1314 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ANNVILLE
Practice Address - State:PA
Practice Address - Zip Code:17003-1611
Practice Address - Country:US
Practice Address - Phone:717-867-4687
Practice Address - Fax:717-867-1701
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020003L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA33492-1OtherDBP - GATEWAY
PA0005437940001Medicaid
PA0012156OtherAMERIHEALTH MERCY
PA121432OtherUNISON