Provider Demographics
NPI:1770625121
Name:DRS. BARRINGER & CRESTETTO,P.A.
Entity type:Organization
Organization Name:DRS. BARRINGER & CRESTETTO,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:BARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-443-7331
Mailing Address - Street 1:901 N WINSTEAD AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8467
Mailing Address - Country:US
Mailing Address - Phone:252-443-7331
Mailing Address - Fax:252-937-2381
Practice Address - Street 1:901 N WINSTEAD AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8467
Practice Address - Country:US
Practice Address - Phone:252-443-7331
Practice Address - Fax:252-937-2381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC52031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990467Medicaid
NC0102XMedicaid
1223S0112XOtherTAXONOMIES
NC8990023Medicaid
NC0102XMedicaid
NC0102XMedicaid
=========OtherFEDERAL TAX ID