John H Barrow III, D.D.S.
Individual provider Active NPI General Practice Dentistry · Laurel, MS
NPI 1831203322 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831203322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2166-85 (MS)
- Practice address
- 1532 W 15TH St
Laurel, MS 39440-2102 - Phone
- (601) 428-0082
- Fax
- (601) 428-1983
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150326001966 | MS | Order and Referring Only - Oral Surgery |
7911224175 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2166-85 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FDC of Laurel LLC | General Practice | Past | Accepting new patients |
| Family Dental Center of Laurel, P.a. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2166-85 | MS | Yes |
Addresses
Primary practice location
1532 W 15TH St
Laurel, MS 39440-2102
Mailing address
1532 W 15TH St
Laurel, MS 39440-2102
Phone (601) 428-0082
Other providers in Laurel, MS
- Terry L. Bang
- Vivek Barclay
- Brett Robert Barlow
- David Miguel Barnes
- Quindalyn M Barnett
- Brittany Barry
- Madelyn A Baucum
- Jessica Bayless
- Thomas B Baylis
- Sarah Lauren Bayouth-McIntyre
All providers in Laurel, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.