Provider Demographics
NPI:1861873176
Name:BARRY GODIN, TAMARINDA JEAN (DDS, MPH)
Entity type:Individual
Prefix:DR
First Name:TAMARINDA
Middle Name:JEAN
Last Name:BARRY GODIN
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:DR
Other - First Name:TAMARINDA
Other - Middle Name:JEAN
Other - Last Name:BARRY GODIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MPH
Mailing Address - Street 1:471 W MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1720
Mailing Address - Country:US
Mailing Address - Phone:973-840-7355
Mailing Address - Fax:
Practice Address - Street 1:471 W MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1720
Practice Address - Country:US
Practice Address - Phone:973-840-7355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI02705700122300000X
NY9740382122300000X
NJ067101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist