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Contact Information

JENNIFER BARRETTA
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA30912-6012
 Phone: 706-721-5467
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Student Health

261QS1000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JENNIFER BARRETTA · (Female)

NPI # 1497458699
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2023
Last updated 07/10/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # DN28121
  • GA License # DN123719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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