Provider Demographics
NPI:1497763155
Name:BARONE AND FORD DDS PA
Entity Type:Organization
Organization Name:BARONE AND FORD DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER VP
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-847-9858
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28106-0397
Mailing Address - Country:US
Mailing Address - Phone:704-847-9858
Mailing Address - Fax:704-841-9095
Practice Address - Street 1:452 MATTHEWS MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2793
Practice Address - Country:US
Practice Address - Phone:704-847-9858
Practice Address - Fax:704-841-9095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty