Provider Demographics
NPI:1225480155
Name:BARBARA S IRELAND DDS PS
Entity Type:Organization
Organization Name:BARBARA S IRELAND DDS PS
Other - Org Name:BARBARA IRELAND, DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:S
Authorized Official - Last Name:IRELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:334-470-9401
Mailing Address - Street 1:51 W KEELY CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-8507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5808 LAKE WASHINGTON BLVD NE
Practice Address - Street 2:#101
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7350
Practice Address - Country:US
Practice Address - Phone:425-216-1612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-03
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00008236261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental