MEDICARE: BARREN SPOT DENTAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1861282410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARREN SPOT DENTAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 8260
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00823-8260
Country	:	US
Telephone Number	:	240-524-1580
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 BEESTON HILL MEDICAL CTR STE 6
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4886
Country	:	US
Telephone Number	:	240-524-1580
Fax Number	:

Authorized Official
Title or Position	:	DENTIST OWNER
Name	:	DR. OLAYINKA IGUN
Credential	:	DDS
Telephone Number	:	240-524-1580

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

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