DR. GARETT NATHANIEL KRUSE BARRY (NPI# 1669093480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669093480 |
| Entity Type | Individual |
| Full Name | DR. GARETT NATHANIEL KRUSE BARRY |
| Credential | DMD |
| Practice Address |
1702 W International Speedway Blvd # 660 Daytona Beach FL 32114-1304 |
| Practice Telephone | 3862529600 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25267 | FL | Dental Providers |
| Street Address |
1702 W INTERNATIONAL SPEEDWAY BLVD # 660 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013384692 | Hussein Salifu | Dentist | 148 Tarracina Way, Daytona Beach, FL 32117-5505 | 2015-08-30 |
| 1194113373 | Stephen Greene | Dentist | 1021 S Ridgewood Ave, Daytona Beach, FL 32114-6114 | 2014-12-22 |
| 1326470436 | Medicaid Dentistry of Daytona LLC | Dentist | 1021 South Ridgewood Ave, Daytona Beach, FL 32114 | 2013-07-31 |
| 1598106023 | Rishit P Patel | Dentist | 2475 W Intl Speedway Blvd, #300, Daytona Beach, FL 32114 | 2013-07-12 |
| 1003256868 | Gladston Silva | Dentist | 1667 N Clyde Morris Blvd Ste 1, Daytona Beach, FL 32117-5500 | 2013-06-26 |
| 1306142260 | Anny B. Vera D.d.s., M.sc., P.a | Dentist | 1667 N Clyde Morris Blvd # 1, Daytona Beach, FL 32117-5500 | 2011-02-09 |
| 1275846040 | Sandeep V Patel | Dentist | 201 W. Isb, Daytona Beach, FL 32114 | 2010-07-21 |
| 1831421643 | John Joseph Sheehan | Dentist | 156 Mallard Ln, Daytona Beach, FL 32119-8330 | 2010-02-03 |
| 1134315583 | Rollins Clary | Dentist | 1116b Beville Rd, Daytona Beach, FL 32114-5743 | 2007-09-19 |
| 1841492626 | Jacob L Armanious | Dentist | 150 S Peninsula Dr, Daytona Beach, FL 32118-4490 | 2007-06-04 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on DR. GARETT NATHANIEL KRUSE BARRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.