Individual
DR. JESSE DAVID BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03647885
—
NY
Enumeration date
07/25/2013
Last updated
03/10/2025
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