Provider Demographics
NPI:1457369118
Name:BARONE, RAYMOND ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ANTHONY
Last Name:BARONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28106-0397
Mailing Address - Country:US
Mailing Address - Phone:704-847-9858
Mailing Address - Fax:704-841-9095
Practice Address - Street 1:452 MATTHEWS MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2793
Practice Address - Country:US
Practice Address - Phone:704-847-9858
Practice Address - Fax:704-841-9095
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice