Barry Dean Applegate, D.M.D

Individual provider Active NPI General Practice Dentistry · Covington, KY

NPI 1639259203 · NPPES record last updated Apr 10, 2023

Key facts

NPI
1639259203
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6664 (KY)
Practice address
322 Greenup St
Covington, KY 41011
Phone
(859) 291-8600
Fax
(859) 291-8601
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6664KYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6664 KY Yes

Addresses

Primary practice location

322 Greenup St
Covington, KY 41011

Mailing address

322 Greenup St
Covington, KY 41011
Phone (859) 291-8600

Other providers in Covington, KY

All providers in Covington, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.