# MADDER, BARNEY, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennewick Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942510029
- **Authorized official:** DR. NATHAN MADDER DMD (DENTIST)
- **Authorized official phone:** (509) 374-4077

## Contact information

- **Practice address:** 9501 W CLEARWATER AVE, STE A120, KENNEWICK, WA 99336
- **Practice address phone:** (509) 374-4077
- **Mailing address:** 7233 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336-6707
- **Mailing address phone:** (509) 374-4077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00010244 | WA | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 10/09/2018
