Provider Demographics
NPI:1659438588
Name:BAIORUNOS, BARRY JOHN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:JOHN
Last Name:BAIORUNOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 10TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2117
Mailing Address - Country:US
Mailing Address - Phone:202-543-2047
Mailing Address - Fax:
Practice Address - Street 1:254 10TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2117
Practice Address - Country:US
Practice Address - Phone:202-767-5402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13599122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist