# KIMBERLY S BARRETT DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760020564
- **Authorized official:** KIMBERLY S BARRETT DDS (OWNER/MEMBER)
- **Authorized official phone:** (231) 903-2069

## Contact information

- **Practice address:** 8794 SPRING ST, MONTAGUE, MI 49437-1221
- **Practice address phone:** (231) 893-5815
- **Mailing address:** 6526 TERRAVITA DR, WHITEHALL, MI 49461-9346
- **Mailing address phone:** (231) 903-2069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2019
- **Last updated:** 01/16/2020
