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Individual

DR. BETSY DORRIS BARCROFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S., M.S.

Contact information

Practice address
6425 N QUAIL HOLLOW RD # -, SUITE 101, MEMPHIS, TN 38120-1437
(901) 682-8491
(901) 682-8492
Mailing address
6170 BOSKEY DR, MILLINGTON, TN 38053-6900
(901) 354-4299
(901) 682-8492

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
972
AK
1223P0221X
Pediatric Dentistry
113
AK
1223P0221X
Pediatric Dentistry
Primary
TN5017
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113
DENTAL SPECIALIST LICENSE
AK
01
972
DENTAL LICENSE NUMBER
AK
05
DD1972
AK
05
DD19721
AK
01
TN5017
DENTAL LICENSE NUMBER
TN
Enumeration date
04/23/2007
Last updated
02/21/2013
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