Provider Demographics
NPI:1073185096
Name:BARRERO, BARLAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARLAN
Middle Name:
Last Name:BARRERO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 CARMEL RD STE 306
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8267
Mailing Address - Country:US
Mailing Address - Phone:704-542-9126
Mailing Address - Fax:
Practice Address - Street 1:6406 CARMEL RD STE 306
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8267
Practice Address - Country:US
Practice Address - Phone:704-542-9126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12361122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist