Individual
DR. JASON LAWRENCE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
161 KODIAK LN, MOUNT AIRY, NC 27030-5399
(336) 789-1025
(336) 789-1158
Mailing address
161 KODIAK LN, MOUNT AIRY, NC 27030-5399
(336) 789-1025
(336) 789-1158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15405
MD
1223G0001X
General Practice Dentistry
Primary
13166
NC
Other
Enumeration date
10/01/2013
Last updated
07/11/2023
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