NPI 1700587409 · live from the CMS NPI Registry
Jacklyn Barlage, DMD
Dentist, General Practice in Minot Afb, ZZ. National Provider Identifier 1700587409, active.
NPI record
| NPI | 1700587409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 10 Missile Ave, Minot Afb, ZZ |
| Practice phone | 701-723-5565 |
| Mailing address | 10 Missile Ave, Minot Afb, ND 58705 |
| Enumerated | March 10, 2023 |
| Last updated | November 13, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 30.027269 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.