Provider Demographics
NPI:1689971475
Name:BARROW, KERI ANN (DDS, MS)
Entity Type:Individual
Prefix:MRS
First Name:KERI
Middle Name:ANN
Last Name:BARROW
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:ANN
Other - Last Name:HORNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:2407 W 57TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5026
Mailing Address - Country:US
Mailing Address - Phone:605-335-6680
Mailing Address - Fax:605-335-8342
Practice Address - Street 1:2407 W 57TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5026
Practice Address - Country:US
Practice Address - Phone:605-335-6680
Practice Address - Fax:605-335-8342
Is Sole Proprietor?:No
Enumeration Date:2011-02-15
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDTEMP3061223X0400X
SDD09651223X0400X
MND129111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics