Provider Demographics
NPI:1942536677
Name:QUICK, BARRY DON (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:DON
Last Name:QUICK
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:2425 PRINCE ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3746
Mailing Address - Country:US
Mailing Address - Phone:501-329-0400
Mailing Address - Fax:501-758-7677
Practice Address - Street 1:2425 PRINCE ST
Practice Address - Street 2:SUITE 6
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3746
Practice Address - Country:US
Practice Address - Phone:501-329-0400
Practice Address - Fax:501-758-7677
Is Sole Proprietor?:No
Enumeration Date:2009-10-31
Last Update Date:2009-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AR30271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X247OtherARKANSAS BLUE CROSS AND BLUE SHIELD