Provider Demographics
NPI:1225614761
Name:TREGO, BRIGITTE BARNES (DMD)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:BARNES
Last Name:TREGO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2490 PELHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1319
Mailing Address - Country:US
Mailing Address - Phone:205-419-7444
Mailing Address - Fax:
Practice Address - Street 1:2490 PELHAM PKWY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1319
Practice Address - Country:US
Practice Address - Phone:205-419-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL71391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry