Jaffe, Barry Richard

Jaffe, Barry Richard is an individual health care provider with primary practice located at 6285 Pearl Rd Suite 11, Parma Heights OH 44130-3070. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jaffe, Barry Richard can be contacted via phone (440) 845-0700.

Contact Information

Primary practice address
6285 Pearl Rd Suite 11 Parma Heights OH 44130-3070
Fax: (440) 845-9855
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 013685 Ohio

Profile Details

NPI number 1669425930
LBN Legal business name Jaffe, Barry Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 31st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669425930 NPPES
Ohio MEDICAID 0159420

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