Healthcare Provider Details

I. General information

NPI: 1720001969
Provider Name (Legal Business Name): KENDALL JAMES BARROWES D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 E 900 N
SPANISH FORK UT
84660-1232
US

IV. Provider business mailing address

82 E 900 N
SPANISH FORK UT
84660-1232
US

V. Phone/Fax

Practice location:
  • Phone: 801-798-1994
  • Fax: 801-798-1785
Mailing address:
  • Phone: 801-798-1994
  • Fax: 801-798-1785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number22-135226-9921
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: