Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 011421 | CT |
N | 1223P0700X | Prosthodontist | 21371 | MA |
N | 1223P0700X | Prosthodontist | 4438 | SC |
NPI | 1043289481 |
---|---|
Provider Name | Dr. Marjorie Wood Barndt |
First Address | Old Lyme, CT 06371-1544 |
Second Address | Waterford, CT 06385 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 20/08/2015 |