Collette, Sean Barry

Collette, Sean Barry is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1893. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Collette, Sean Barry can be contacted via phone (509) 765-0674.

Contact Information

Primary practice address
605 S Coolidge St Moses Lake WA 98837-1893
Phone: (509) 765-0674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60485736 Washington

Profile Details

NPI number 1023412293
LBN Legal business name Collette, Sean Barry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023412293 NPPES
Washington MEDICAID 2040381

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