Kenneth Steven Barrack in Mt Pleasant - Prosthodontics

Kenneth Steven Barrack - NPI 1295999100

Kenneth Steven Barrack is a Prosthodontics in Mt Pleasant, South Carolina. Kenneth Steven Barrack practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Kenneth Steven Barrack is 1295999100. The last update date is 2011-08-03.

Kenneth Steven Barrack's current location address is 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, South Carolina. You can contact this provider via phone number 8438499044. The mailing address for Kenneth Steven Barrack is 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Steven Barrack
Address 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, South Carolina
Phone Number 8438499044
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1295999100
Provider Enumeration Date 2008-07-10
Last Updated Date 2011-08-03

Provider Mailing Address Detail

Address 682 Johnnie Dodds Blvd Ste 102
City Mt Pleasant
State South Carolina (SC)
Post Code 294643028
Phone Number 8438499044
Fax Number

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No 3150
Definition:
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial

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FAQs about Kenneth Steven Barrack

What is the Kenneth Steven Barrack's unique identification number?

The Kenneth Steven Barrack has been assigned the NPI (National Provider Identifier) Number 1295999100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Kenneth Steven Barrack's facilities are situated?

The facilities of Kenneth Steven Barrack are physically located at the following address: 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, SC, 294643028.

What is the Kenneth Steven Barrack's specialty and taxonomy code?

The Kenneth Steven Barrack's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.

On what date was the 1295999100 assigned to Kenneth Steven Barrack?

The Kenneth Steven Barrack was issued its 1295999100 on 2008-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kenneth Steven Barrack most recently updated?

The details pertaining to the Kenneth Steven Barrack, including its address, specialty, and other relevant information, were last refreshed on 2011-08-03.

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