Provider Demographics
NPI:1700960747
Name:KARBASSI, BARBARA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:E
Last Name:KARBASSI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 BETHEL RD SE
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-1253
Mailing Address - Country:US
Mailing Address - Phone:360-876-6388
Mailing Address - Fax:360-876-6510
Practice Address - Street 1:4601 BETHEL RD SE
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-1253
Practice Address - Country:US
Practice Address - Phone:360-876-6388
Practice Address - Fax:360-876-6510
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA69221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6922OtherSTATE LISENSE NUMBER