Barry, Michael David

Barry, Michael David is an individual health care provider with primary practice located at 11990 Jackson St , Clinton LA 70722. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Barry, Michael David can be contacted via phone (225) 683-5292.

Contact Information

Primary practice address
11990 Jackson St Clinton LA 70722
Phone: (225) 683-5292
Fax: (225) 683-3411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3648 Louisiana

Profile Details

NPI number 1639399264
LBN Legal business name Barry, Michael David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 2nd, 2018 - about 6 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 1639399264 NPPES
Louisiana MEDICAID 1836486

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