# MR. BARRY ERVIN YASKUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1902951122
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2150 | MT | — |
| 1223G0001X | General Practice Dentistry | DEN-DEN-LIC-2150 | MT | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 04/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0113126 | — | MT |
| 01 | — | 013184 | BLUE CROSS BLUE SHILED | MT |
| 01 | — | 1313335 | UNITED CONCORDIA | MT |
| 01 | — | 5512546 | CHIP | MT |