Provider Demographics
NPI:1639259203
Name:APPLEGATE, BARRY DEAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:DEAN
Last Name:APPLEGATE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 GREENUP ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011
Mailing Address - Country:US
Mailing Address - Phone:859-291-8600
Mailing Address - Fax:859-291-8601
Practice Address - Street 1:322 GREENUP ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011
Practice Address - Country:US
Practice Address - Phone:859-291-8600
Practice Address - Fax:859-291-8601
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY66641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice