Provider Demographics
NPI:1033834221
Name:TAVEL SANTOS, BARBARA (DMD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:TAVEL SANTOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:TAVEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:4916 BABBIT DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-4740
Mailing Address - Country:US
Mailing Address - Phone:786-972-2074
Mailing Address - Fax:
Practice Address - Street 1:4916 BABBIT DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-4740
Practice Address - Country:US
Practice Address - Phone:786-972-2074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician