Provider Demographics
NPI:1669978730
Name:SCOTT C. BARRIX D.D.S.
Entity type:Organization
Organization Name:SCOTT C. BARRIX D.D.S.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARRIX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-343-2125
Mailing Address - Street 1:2320 NORTHPARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-4482
Mailing Address - Country:US
Mailing Address - Phone:812-372-1234
Mailing Address - Fax:812-375-2430
Practice Address - Street 1:2320 NORTHPARK DR STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4482
Practice Address - Country:US
Practice Address - Phone:812-372-1234
Practice Address - Fax:812-375-2430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty