Provider Demographics
NPI:1659389641
Name:BARRINGER, WESLEY MICHAEL (DDS)
Entity Type:Individual
Prefix:
First Name:WESLEY
Middle Name:MICHAEL
Last Name:BARRINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:W
Other - Middle Name:MICHAEL
Other - Last Name:BARRINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:69 040 EAST PALM CANYON DR
Mailing Address - Street 2:#F
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234
Mailing Address - Country:US
Mailing Address - Phone:760-321-4869
Mailing Address - Fax:760-321-4926
Practice Address - Street 1:69 040 EAST PALM CANYON DR
Practice Address - Street 2:#F
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234
Practice Address - Country:US
Practice Address - Phone:760-321-4869
Practice Address - Fax:760-321-4926
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52297122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9367901OtherDENTI CAL