Provider Demographics
NPI:1861282410
Name:BARREN SPOT DENTAL LLC
Entity type:Organization
Organization Name:BARREN SPOT DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLAYINKA
Authorized Official - Middle Name:
Authorized Official - Last Name:IGUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-524-1580
Mailing Address - Street 1:PO BOX 8260
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-8260
Mailing Address - Country:US
Mailing Address - Phone:240-524-1580
Mailing Address - Fax:
Practice Address - Street 1:4000 BEESTON HILL MEDICAL CTR STE 6
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4886
Practice Address - Country:US
Practice Address - Phone:240-524-1580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental