Individual
DR. JENNIFER BARRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-6012
(706) 721-5467
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-5467
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN123719
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN28121
FL
261QS1000X
Student Health Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
DN28121
FL
Other
Enumeration date
03/24/2023
Last updated
07/10/2025
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