Barcroft, Betsy Dorris
Barcroft, Betsy Dorris is an sole proprietor health care provider with primary practice located at 6425 N Quail Hollow Rd # - Suite 101, Memphis TN 38120-1437. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Barcroft, Betsy Dorris can be contacted via phone (901) 682-8491.Contact Information
Primary practice address
6425 N Quail Hollow Rd # - Suite 101
Memphis TN 38120-1437
Phone: (901) 682-8491
Fax: (901) 682-8492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 972 | Alaska |
| Dental Providers / Pediatric Dentistry | 1223P0221X | TN5017 | Tennessee |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 113 | Alaska |
Profile Details
| NPI number | 1114145471 |
|---|---|
| LBN Legal business name | Barcroft, Betsy Dorris |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 21st, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114145471 | NPPES |
| Alaska | Other | 113 | DENTAL SPECIALIST LICENSE |
| Alaska | MEDICAID | DD1972 | DENTAL SPECIALIST LICENSE |
| Alaska | MEDICAID | DD19721 | DENTAL SPECIALIST LICENSE |
| Alaska | Other | TN5017 | DENTAL SPECIALIST LICENSE |
| Alaska | Other | 972 | DENTAL SPECIALIST LICENSE |
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