Provider Demographics
NPI:1659394237
Name:MACH, BARRY KENT (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:KENT
Last Name:MACH
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 1:1861 BROWN BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-4697
Mailing Address - Country:US
Mailing Address - Phone:817-461-0999
Mailing Address - Fax:817-801-3121
Practice Address - Street 1:1861 BROWN BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-4697
Practice Address - Country:US
Practice Address - Phone:817-461-0999
Practice Address - Fax:817-801-3121
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice