Basic Information
Provider Information
NPI: 1821073545
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARFUSS
FirstName: RAMIE
MiddleName: KENT
NamePrefix: DR.
NameSuffix:  
Credential: D.M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1667 COCHRANE CIR BLDG 7495USA
Address2:  
City: FORT CARSON
State: CO
PostalCode: 809134603
CountryCode: US
TelephoneNumber: 7195265537
FaxNumber:  
Practice Location
Address1: 1667 COCHRANE CIR BLDG 7495
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809134603
CountryCode: US
TelephoneNumber: 7195265400
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/14/2005
LastUpdateDate: 04/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223E0200XDEN.00202960COY Dental ProvidersDentistEndodontics

No ID Information.


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