Provider Demographics
NPI:1063668697
Name:BARSANTI, TRISH ALAYNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRISH
Middle Name:ALAYNE
Last Name:BARSANTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-6145
Mailing Address - Country:US
Mailing Address - Phone:707-388-3880
Mailing Address - Fax:707-826-0631
Practice Address - Street 1:1180 8TH ST
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-6145
Practice Address - Country:US
Practice Address - Phone:707-388-3880
Practice Address - Fax:707-826-0631
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA575021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice