Healthcare Provider Details

I. General information

NPI: 1861282410
Provider Name (Legal Business Name): BARREN SPOT DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 BEESTON HILL MEDICAL CTR STE 6
CHRISTIANSTED VI
00820-4886
US

IV. Provider business mailing address

PO BOX 8260
CHRISTIANSTED VI
00823-8260
US

V. Phone/Fax

Practice location:
  • Phone: 240-524-1580
  • Fax:
Mailing address:
  • Phone: 240-524-1580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. OLAYINKA IGUN
Title or Position: DENTIST OWNER
Credential: DDS
Phone: 240-524-1580