| Dr. Jerry Barnes | |
|
1871 Old Hudson Rd Saint Paul MN 55119-4308 | |
| (651) 738-0900 | |
| (651) 738-0902 |
| Full Name | Dr. Jerry Barnes |
|---|---|
| Speciality | Dentist |
| Location | 1871 Old Hudson Rd, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jerry E Barnes (OWNER) |
| Authorized Official Contact | 6517380900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jerry Barnes 1871 Old Hudson Rd Saint Paul MN 55119-4308 Ph: (651) 738-0900 | Dr. Jerry Barnes 1871 Old Hudson Rd Saint Paul MN 55119-4308 Ph: (651) 738-0900 |
| NPI Number | 1740402932 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740402932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6301 (Minnesota) | Primary |
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