Dr. Jason Lawrence Barrett, DDS
Dentist, General Practice in Mount Airy, NC. Individual provider (NPI-1).
NPI number1649607946
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1649607946
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Lawrence Barrett
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2013
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 13166 | NC | Yes |
| 122300000X | Dentist | 15405 | MD |
Practice location
161 Kodiak LnMount Airy, NC 27030-5399
Phone 336-789-1025 · Fax 336-789-1158
Mailing address
161 Kodiak LnMount Airy, NC 27030-5399
Phone 336-789-1025 · Fax 336-789-1158
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