John Y. Barlow, D.D.S.
Individual provider Active NPI General Practice Dentistry · Hildale, UT
NPI 1619972569 · NPPES record last updated Oct 24, 2012
Key facts
- NPI
- 1619972569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22607 (TX)
- Practice address
- 1080 West Utah Ave
Hildale, UT 84784-1489 - Phone
- (435) 874-2555
- Fax
- (435) 874-2553
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22607 | TX | MD | General Practice Dentistry |
| 278706-9922 | UT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 278706-9922 | UT | |
| General Practice Dentistry | 1223G0001X | 22607 | TX | Yes |
Addresses
Primary practice location
1080 West Utah Ave
Hildale, UT 84784-1489
Mailing address
1080 West Utah Ave
P.O. Box 841489
Hildale, UT 84784-1489
Phone (435) 874-2555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24-5710792 | Other | UT | FEIN |
| 197013 | Other | AZ | AHCCCS PROVIDER |
Other providers in Hildale, UT
- Chrystal Bair
- Helen Barlow
- Lehi Samuel Barlow
- Lloyd H. Barlow
- Martha Barlow
- Shirley J. Barlow
- Brightside Counseling
All providers in Hildale, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.