Provider Demographics
NPI:1760591481
Name:BARROSO-BERNIER, BRENT HAYWARD (DDS)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:HAYWARD
Last Name:BARROSO-BERNIER
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 1:370 MIDLAND DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1433
Mailing Address - Country:US
Mailing Address - Phone:734-272-3946
Mailing Address - Fax:
Practice Address - Street 1:627 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3256
Practice Address - Country:US
Practice Address - Phone:828-255-8676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist