Provider Demographics
NPI:1669572285
Name:ENG-BARRETT, MAY (DDS)
Entity type:Individual
Prefix:DR
First Name:MAY
Middle Name:
Last Name:ENG-BARRETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-1328
Mailing Address - Country:US
Mailing Address - Phone:570-226-2242
Mailing Address - Fax:570-226-2286
Practice Address - Street 1:212 MAIN AVE
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-1328
Practice Address - Country:US
Practice Address - Phone:570-226-2242
Practice Address - Fax:570-226-2286
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030905L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics