Provider Demographics
NPI:1821000399
Name:RICK A BARSTOW DDS INC
Entity Type:Organization
Organization Name:RICK A BARSTOW DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BARSTOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-826-4748
Mailing Address - Street 1:114 WEST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762
Mailing Address - Country:US
Mailing Address - Phone:740-826-4748
Mailing Address - Fax:740-826-7377
Practice Address - Street 1:114 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762
Practice Address - Country:US
Practice Address - Phone:740-826-4748
Practice Address - Fax:740-826-7377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14644122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty