Provider Demographics
NPI:1386858504
Name:BARR, RONALD H (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:H
Last Name:BARR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:TRAVIS
Other - Middle Name:T
Other - Last Name:POINDEXTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:341 N SAN MATEO DR
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2513
Mailing Address - Country:US
Mailing Address - Phone:650-348-2844
Mailing Address - Fax:650-348-1922
Practice Address - Street 1:341 N SAN MATEO DR
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2513
Practice Address - Country:US
Practice Address - Phone:650-348-2844
Practice Address - Fax:650-348-1922
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA227761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice