Provider Demographics
NPI:1245432988
Name:TURNER, BARRY ANGUS (DMD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:ANGUS
Last Name:TURNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 BRUNSWICK RD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-9529
Mailing Address - Country:US
Mailing Address - Phone:530-273-6168
Mailing Address - Fax:530-273-2480
Practice Address - Street 1:565 BRUNSWICK RD
Practice Address - Street 2:SUITE #2
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-9529
Practice Address - Country:US
Practice Address - Phone:530-273-6168
Practice Address - Fax:530-273-2480
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23954122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist