Provider Demographics
NPI:1902009921
Name:BARRIENTOS, CARMEN IRMA (DMD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:IRMA
Last Name:BARRIENTOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 WALMSLEY LN
Mailing Address - Street 2:
Mailing Address - City:SAUNDERSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02874-3617
Mailing Address - Country:US
Mailing Address - Phone:401-792-0165
Mailing Address - Fax:
Practice Address - Street 1:880 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3113
Practice Address - Country:US
Practice Address - Phone:401-741-9219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN2696122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist