Provider Demographics
NPI:1528239977
Name:BARRICKMAN, WILLIAM A (DMD,)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:BARRICKMAN
Suffix:
Gender:M
Credentials:DMD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 RHONE CIR # 200
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5049
Mailing Address - Country:US
Mailing Address - Phone:907-276-4006
Mailing Address - Fax:907-562-2170
Practice Address - Street 1:3606 RHONE CIR # 200
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5049
Practice Address - Country:US
Practice Address - Phone:907-276-4006
Practice Address - Fax:907-562-2170
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice