Provider Demographics
NPI:1407931710
Name:BARRINGER, WILLIAM KENNON (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KENNON
Last Name:BARRINGER
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 1:901 N WINSTEAD AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8467
Mailing Address - Country:US
Mailing Address - Phone:252-443-7331
Mailing Address - Fax:252-937-3481
Practice Address - Street 1:901 N WINSTEAD AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8467
Practice Address - Country:US
Practice Address - Phone:252-443-7331
Practice Address - Fax:252-937-3481
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC52031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0102XMedicaid
NC8990467Medicaid
NC0102XMedicaid
NC2470371Medicare ID - Type Unspecified