Provider Demographics
NPI:1881807428
Name:BARRETT, HAROLD JR (DDS)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:BARRETT
Suffix:JR
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 1:6319 CASTLE PLACE
Mailing Address - Street 2:SUITE 1 A
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-1907
Mailing Address - Country:US
Mailing Address - Phone:703-536-4900
Mailing Address - Fax:703-532-4988
Practice Address - Street 1:6319 CASTLE PLACE
Practice Address - Street 2:SUITE 1 A
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-1907
Practice Address - Country:US
Practice Address - Phone:703-536-4900
Practice Address - Fax:703-532-4988
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010030711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice