Provider Demographics
NPI:1720001969
Name:BARROWES, KENDALL JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:JAMES
Last Name:BARROWES
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 1:82 E 900 N
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1232
Mailing Address - Country:US
Mailing Address - Phone:801-798-1994
Mailing Address - Fax:801-798-1785
Practice Address - Street 1:82 E 900 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1232
Practice Address - Country:US
Practice Address - Phone:801-798-1994
Practice Address - Fax:801-798-1785
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT22-135226-99211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT795668OtherUNITED CONCORDIA'S ID #