IndividualActive
Barry Petry, DDS
NPI 1073604120 · General Practice Dentistry · Jennings, LA
Provider details
- NPI number
- 1073604120
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4248 (LA)
Specialties & taxonomies
Dental Providers
Practice location
505 Virginia Street
Jennings, LA 70546
Phone: (337) 824-0106
Fax: (337) 824-0430
Approximate (ZIP-level) locationGet directions
Mailing address
505 Virginia Street
Jennings, LA 70546
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2015-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.