DR. BARRY EDWARD WOOTTON (NPI# 1194824839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194824839 |
| Entity Type | Individual |
| Full Name | DR. BARRY EDWARD WOOTTON |
| Credential | DDS |
| Practice Address |
905 Sir Francis Drake Blvd Kentfield CA 94904 |
| Mailing Address |
905 Sir Francis Drake Blvd Kentfield CA 94904-1589 |
| Practice Telephone | 4154570343 |
| Practice Fax Number | 4154578366 |
| Mailing Telephone | 4154570343 |
| Mailing Fax Number | 4154578366 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
27090 | CA | Dental Providers |
| Street Address |
905 SIR FRANCIS DRAKE BLVD |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457655 | Elizabeth P Greason | Counselor | 905 Sir Francis Drake Blvd, Kentfield, CA 94904-1588 | 2006-05-23 |
| 1396282786 | Teena Scovis | Marriage & Family Therapist | 905 Sir Francis Drake Blvd, Suite D, Kentfield, CA 94904-1588 | 2017-01-24 |
| 1962765800 | Jennifer Couture | Marriage & Family Therapist | 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904-1588 | 2012-06-15 |
| 1285861534 | Jeannette Longtin | Marriage & Family Therapist | 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904-1588 | 2009-06-14 |
| 1942460027 | Robert Nemerovski | Psychologist | 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904-1588 | 2008-06-12 |
| 1023223096 | Barbara Mccarroll | Psychologist | 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904-1588 | 2007-05-13 |
| 1962538777 | Claudia T Perez | Psychologist | 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904-1588 | 2007-02-26 |
| 1295860195 | Virginia Ann Gardner | Marriage & Family Therapist | 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904-1588 | 2007-02-22 |
| 1801975040 | Louise Evette Robinson | Marriage & Family Therapist | 905 Sir Francis Drake Blvd, Suite F, Kentfield, CA 94904-1589 | 2006-11-06 |
| 1720097413 | Ana Josefina Amaya | Dentist | 905 Sir Francis Drake Blvd, Kentfield, CA 94904-1589 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720097413 | Ana Josefina Amaya | Dentist | 905 Sir Francis Drake Blvd, Kentfield, CA 94904-1589 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BARRY EDWARD WOOTTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.