Provider Demographics
NPI:1790838308
Name:STREIT, BARNEY D (DDS)
Entity type:Individual
Prefix:MR
First Name:BARNEY
Middle Name:D
Last Name:STREIT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:512 E WHITEHOUSE CANYON RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-0550
Mailing Address - Country:US
Mailing Address - Phone:520-625-6167
Mailing Address - Fax:520-625-6169
Practice Address - Street 1:512 E WHITEHOUSE CANYON RD
Practice Address - Street 2:SUITE 120
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-0550
Practice Address - Country:US
Practice Address - Phone:520-625-6167
Practice Address - Fax:520-625-6169
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD47021223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics