Individual
CHARLES BERTRAND BARRETT JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1504 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 636-5492
(502) 636-9210
Mailing address
1504 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 636-5492
(502) 636-9210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9263
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100238920
—
KY
Enumeration date
02/19/2013
Last updated
02/01/2016
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