Provider Demographics
NPI:1528043031
Name:BARONE-SMITH, CAROL ELAINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ELAINE
Last Name:BARONE-SMITH
Suffix:
Gender:F
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:PC 557 BOX 480
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96379-0480
Mailing Address - Country:JP
Mailing Address - Phone:01181611-745-7381
Mailing Address - Fax:01181611-756-7387
Practice Address - Street 1:3D DENTAL BN/USNDC OKINAWA, JAPAN
Practice Address - Street 2:UNIT 38450
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96604-8450
Practice Address - Country:JP
Practice Address - Phone:01181611-745-3085
Practice Address - Fax:01181611-745-7387
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-027575L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice