Barry, Michael Allen

Barry, Michael Allen is an individual health care provider with primary practice located at 1524 Atwood Ave Ste 438, Johnston RI 02919-3228. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Barry, Michael Allen can be contacted via phone (401) 821-2373.

Contact Information

Primary practice address
1524 Atwood Ave Ste 438 Johnston RI 02919-3228
Phone: (401) 821-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN2150 Rhode Island

Profile Details

NPI number 1871537910
LBN Legal business name Barry, Michael Allen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871537910 NPPES
Rhode Island MEDICAID MB00018

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