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NPI Code Detail

MEDICARE: MS. JESSICA BARRETT RDH

MEDICARE: MS. JESSICA BARRETT RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist3266-03DHMS

General Provider Information

NPI Number : 1437594025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA BARRETT RDH
Provider Business Mailing Address
First Line : 5201 MONACO DR APT 4E
Second Line :
City : PASCAGOULA
State : MS
Zip : 39581-4925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2574 MARCIA CT
Second Line :
City : BILOXI
State : MS
Zip : 39531-2341
Country : US
Telephone Number : 228-388-9545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2013
Last Update Date : 05/08/2013

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Directions to “ MS. JESSICA BARRETT RDH” Practice Location

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