Individual
DR. RICHARD D. BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40 NORTHCREST DR, SUITE 2, COUNCIL BLUFFS, IA 51503-1622
(712) 323-7589
(712) 323-8255
Mailing address
213 TIMBER DR, COUNCIL BLUFFS, IA 51503-5351
(712) 328-9505
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5888
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142679
—
IA
Enumeration date
11/01/2006
Last updated
07/09/2007
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