Provider Demographics
NPI:1598170813
Name:BARRELIER, DAVID E (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:BARRELIER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:E.
Other - Middle Name:DAVID
Other - Last Name:BARRELIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:10503 CREEK ST. SE
Mailing Address - Street 2:2044
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-2044
Mailing Address - Country:US
Mailing Address - Phone:360-400-6242
Mailing Address - Fax:360-400-6242
Practice Address - Street 1:669 WOODLAND SQUARE LOOP SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1038
Practice Address - Country:US
Practice Address - Phone:360-359-4860
Practice Address - Fax:360-359-4861
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60372423122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist