Provider Demographics
NPI:1891824793
Name:BARRICKLOW, AMY MCCAHAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MCCAHAN
Last Name:BARRICKLOW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8942 CEDAR BEND RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-9391
Mailing Address - Country:US
Mailing Address - Phone:419-829-9921
Mailing Address - Fax:
Practice Address - Street 1:8942 CEDAR BEND RD
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9391
Practice Address - Country:US
Practice Address - Phone:419-829-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-20319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist