# DENTISTRY NORTHWEST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083834675
- **Authorized official:** DR. JOHN D BARRETT D.D.S. (OWNER)
- **Authorized official phone:** (360) 385-1000

## Contact information

- **Practice address:** 131 RANDOLPH ST, PORT HADLOCK, WA 98339
- **Practice address phone:** (360) 385-1000
- **Practice address fax:** (360) 385-0899
- **Mailing address:** 131 RANDOLPH ST, PORT HADLOCK, WA 98339
- **Mailing address phone:** (360) 385-1000
- **Mailing address fax:** (360) 385-0899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5050 | WA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5534904 | — | WA |