Provider Demographics
NPI:1568850014
Name:BARRETT & KUSHNER PLLC
Entity Type:Organization
Organization Name:BARRETT & KUSHNER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUREVICH KUSHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-779-7711
Mailing Address - Street 1:19365 7TH AVE NE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7441
Mailing Address - Country:US
Mailing Address - Phone:360-779-7711
Mailing Address - Fax:360-779-7732
Practice Address - Street 1:19365 7TH AVE NE
Practice Address - Street 2:SUITE 114
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7441
Practice Address - Country:US
Practice Address - Phone:360-779-7711
Practice Address - Fax:360-779-7732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty