| Russell A. Barron, Dds, Inc, Ps | |
|
9619 271st St Nw Stanwood WA 98292-0819 | |
| (360) 629-2420 | |
| (360) 629-7211 |
| Full Name | Russell A. Barron, Dds, Inc, Ps |
|---|---|
| Speciality | Dentist |
| Location | 9619 271st St Nw, Stanwood, Washington |
| Authorized Official Name and Position | Russell Allen Barron (CEO) |
| Authorized Official Contact | 3606292420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell A. Barron, Dds, Inc, Ps Po Box 819 Stanwood WA 98292-0819 Ph: (360) 629-2420 | Russell A. Barron, Dds, Inc, Ps 9619 271st St Nw Stanwood WA 98292-0819 Ph: (360) 629-2420 |
| NPI Number | 1558485219 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558485219 | NPI | - | NPPES |
| 5320205 | Medicaid | WA | |
| 0151502 | Other | WA | L & I REGULAR PROVIDER # |
| 8004236 | Medicaid | WA | |
| 8924064 | Other | WA | L & I CRIME VICTIMS PROV# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00003899 (Washington) | Primary |
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