Kenneth Steven Barrack, DDS
Dentist, Prosthodontics in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1295999100
StatusActive
Last updated in NPPESAug 3, 2011
Details
- NPI
- 1295999100
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Steven Barrack
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2008
- Last updated
- Aug 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 3150 | SC | Yes |
Practice location
682 Johnnie Dodds Blvd Ste 102Mt Pleasant, SC 29464-3028
Phone 843-849-9044
Mailing address
682 Johnnie Dodds Blvd Ste 102Mt Pleasant, SC 29464-3028
Phone 843-849-9044
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