JACKLYN BARLAGE DMD
NPI 1700587409
Dentist - General Practice in Minot Afb, ND

Active since March 10, 2023
10 MISSILE AVE, MINOT AFB, ND 58705(701) 723-5565 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 13, 2025, Sep 9, 2024, Mar 10, 2023 (3 updates tracked since 2023).

About Jacklyn Barlage Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN BARLAGE DMD (NPI 1700587409) is an individual general practice provider in Minot Afb, North Dakota, licensed in Ohio (30.027269) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1700587409
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJACKLYN BARLAGECredential: DMD
Location Address10 MISSILE AVEMinot Afb, ND 58705-5003
Mailing Address10 Missile AveMinot Afb, ND 58705-5003
Sole ProprietorYes
Enumeration DateMarch 10, 2023
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1700587409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 30.027269
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10 MISSILE AVE, Minot Afb, ND 58705

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
10 MISSILE AVE
MINOT AFB, ND 58705
Physician Assistant
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker
10 MISSILE AVE
MINOT AFB, ND 58705
Psychologist (Counseling)
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705
Physical Therapist
10 MISSILE AVE
MINOT AFB, ND 58705
General Practice
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Barlage's NPI number?

The NPI number for Jacklyn Barlage is 1700587409. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Where is Jacklyn Barlage located?

Jacklyn Barlage practices at 10 Missile Ave, Minot Afb, ND 58705. The listed phone number is (701) 723-5565.

What is Jacklyn Barlage's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacklyn Barlage was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.