Provider Demographics
NPI:1699827725
Name:BARRETT, MARTIN LEO JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:LEO
Last Name:BARRETT
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 ORNE STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-2436
Mailing Address - Country:US
Mailing Address - Phone:508-695-9532
Mailing Address - Fax:508-695-9532
Practice Address - Street 1:20 ORNE STREET
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-2436
Practice Address - Country:US
Practice Address - Phone:508-695-9532
Practice Address - Fax:508-695-9532
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13099122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist