| Barnes Family Dentistry | |
|
5489 Highway 42 Hattiesburg MS 39401-1415 | |
| (601) 545-7055 | |
| Not Available |
| Full Name | Barnes Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5489 Highway 42, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Carletta Yalonda Barnes-ekunwe (PRESIDENT) |
| Authorized Official Contact | 6015457055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barnes Family Dentistry 5910 U S Highway 49 Ste 15 Hattiesburg MS 39401-7585 Ph: (601) 545-7055 | Barnes Family Dentistry 5489 Highway 42 Hattiesburg MS 39401-1415 Ph: (601) 545-7055 |
| NPI Number | 1144345299 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144345299 | NPI | - | NPPES |
| 09823388 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3248-03 (Mississippi) | Primary |
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