Barry Wyllys Fenn in Grayling - Dentist

Barry Wyllys Fenn - NPI 1124248638

Barry Wyllys Fenn is a Dentist in Grayling, Michigan. Barry Wyllys Fenn practices all healthcare services and medical treatments related to Dentist. The NPI Number for Barry Wyllys Fenn is 1124248638. The last update date is 2007-07-08.

Barry Wyllys Fenn's current location address is 505 Fred Bear Dr, Grayling, Michigan. You can contact this provider via phone number 9893485923. The mailing address for Barry Wyllys Fenn is 505 Fred Bear Dr, Grayling, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Barry Wyllys Fenn
Address 505 Fred Bear Dr, Grayling, Michigan
Phone Number 9893485923
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1124248638
Provider Enumeration Date 2007-04-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 505 Fred Bear Dr
City Grayling
State Michigan (MI)
Post Code 49738
Phone Number 9893485923
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2901012065
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Barry Wyllys Fenn

What is the unique 10-digit identification code issued to Barry Wyllys Fenn by the Centers for Medicare & Medicaid Services?

The Barry Wyllys Fenn has been assigned the NPI (National Provider Identifier) 1124248638 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Barry Wyllys Fenn is located?

The Barry Wyllys Fenn is situated at the following address: 505 Fred Bear Dr, Grayling, MI, 49738.

What is the Barry Wyllys Fenn's specialty and taxonomy code?

The Barry Wyllys Fenn's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124248638 to Barry Wyllys Fenn?

The Centers for Medicare & Medicaid Services assigned the 1124248638 to Barry Wyllys Fenn on 2007-04-26.

When was the information related to Barry Wyllys Fenn most recently updated or refreshed?

The details pertaining to the Barry Wyllys Fenn, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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