Individual
MICHAEL DAVID BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722
(225) 683-5292
(225) 683-3411
Mailing address
P.O. BOX 378, GRAND COTEAU, LA 70541
(337) 207-7556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3648
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836486
—
LA
Enumeration date
04/26/2007
Last updated
08/02/2018
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