Individual
DR. BETSY DORRIS BARCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
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
Update your record
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