Barry S Pendergrass in Centerville - General Practice
Barry S Pendergrass - NPI 1851474779
Barry S Pendergrass is a General Practice in Centerville, Tennessee. Barry S Pendergrass practices all healthcare services and medical treatments related to General Practice. The NPI Number for Barry S Pendergrass is 1851474779. The last update date is 2007-07-08.
Barry S Pendergrass's current location address is 1824 Ray Morrison Dr, Centerville, Tennessee. You can contact this provider via phone number 9317293356. The mailing address for Barry S Pendergrass is 1824 Ray Morrison Dr, Centerville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry S Pendergrass |
|---|---|
| Address | 1824 Ray Morrison Dr, Centerville, Tennessee |
| Phone Number | 9317293356 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1851474779 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1824 Ray Morrison Dr |
|---|---|
| City | Centerville |
| State | Tennessee (TN) |
| Post Code | 370333000 |
| Phone Number | 9317293356 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS6908 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DS6908 | TN | DENTAL LIC |
Post Comment/ Review Below
What is the unique identification code assigned to Barry S Pendergrass by the Centers for Medicare & Medicaid Services?
The Barry S Pendergrass has been issued the NPI (National Provider Identifier) 1851474779. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Barry S Pendergrass's facilities are situated?
The facilities of Barry S Pendergrass are physically located at the following address: 1824 Ray Morrison Dr, Centerville, TN, 370333000.
What is the area of specialization for Barry S Pendergrass, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Barry S Pendergrass is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851474779 to Barry S Pendergrass?
The Centers for Medicare & Medicaid Services assigned the 1851474779 to Barry S Pendergrass on 2006-10-23.
As of what date was the information pertaining to Barry S Pendergrass, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Barry S Pendergrass, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.