Provider Demographics
NPI:1598819476
Name:KAIMAKIS, BARRY W (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:W
Last Name:KAIMAKIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 UNIVERSITY ST STE 804
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-4117
Mailing Address - Country:US
Mailing Address - Phone:206-621-0455
Mailing Address - Fax:
Practice Address - Street 1:600 UNIVERSITY ST STE 804
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-4117
Practice Address - Country:US
Practice Address - Phone:206-621-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA68101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice