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NPI 1801944129

NPI 1801944129 : CURTIS BARNETT DDS PLLC : KENT, WA

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General NPI Number Information
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    NPI Number           |    1801944129
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    Entity Type          |    Organization 
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    Legal Business Name  |    CURTIS BARNETT DDS PLLC 
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Dates
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    Enumeration Date     |    01/05/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    13034 SE KENT KANGLEY RD 
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    City                 |    KENT
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    State                |    WA
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    Zip                  |    98030-7965
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    Country              |    US
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    Telephone            |    253-631-6398
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    Fax                  |    253-631-2281
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Provider Business Mailing Address
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    Address Line         |    13034 SE KENT KANGLEY RD 
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    City                 |    KENT
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    State                |    WA
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    Zip                  |    98030-7965
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    Country              |    US
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    Telephone            |    253-631-6398
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    Fax                  |    253-631-2281
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Authorized Official
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    Title or Position    |    PEDIATRIC DENTIST
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    Name                 |    DR. CURTIS JOHN BARNETT 
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    Credential           |    DDS
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    Telephone            |    253-631-6398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    DE00007103
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    License Number State |    WA
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