Organization
DENTISTRY NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D BARRETT D.D.S. (OWNER)
(360) 385-1000
Entity
Organization
Contact information
Practice address
131 RANDOLPH ST, PORT HADLOCK, WA 98339
(360) 385-1000
(360) 385-0899
Mailing address
131 RANDOLPH ST, PORT HADLOCK, WA 98339
(360) 385-1000
(360) 385-0899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5534904
—
WA
Enumeration date
04/26/2007
Last updated
08/22/2020
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