Provider Demographics
NPI:1245403021
Name:KAREN D. BARWICK, D.D.S., P.A.
Entity Type:Organization
Organization Name:KAREN D. BARWICK, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-570-3882
Mailing Address - Street 1:150 W CRESCENT SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-4014
Mailing Address - Country:US
Mailing Address - Phone:336-570-3882
Mailing Address - Fax:336-570-3583
Practice Address - Street 1:150 W CRESCENT SQUARE DR
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-4014
Practice Address - Country:US
Practice Address - Phone:336-570-3882
Practice Address - Fax:336-570-3583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5657122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7990488Medicaid