Provider Demographics
NPI:1689039455
Name:BRENT HAYWARD BARROSO-BERNIER DDS PLLC
Entity Type:Organization
Organization Name:BRENT HAYWARD BARROSO-BERNIER DDS PLLC
Other - Org Name:WEST ASHEVILLE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:HAYWARD
Authorized Official - Last Name:BARROSO-BERNIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-255-8676
Mailing Address - Street 1:627 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3256
Mailing Address - Country:US
Mailing Address - Phone:828-255-8676
Mailing Address - Fax:828-252-1074
Practice Address - Street 1:627 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3256
Practice Address - Country:US
Practice Address - Phone:828-255-8676
Practice Address - Fax:828-252-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9555122300000X
NC8842122300000X
NC9556122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty