MEDICARE: DR. AMY REBECCA BARFIELD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	3845	AR

General Provider Information

NPI Number	:	1396024881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY REBECCA BARFIELD DDS

Provider Business Mailing Address
First Line	:	421 PECAN ST
Second Line	:
City	:	TEXARKANA
State	:	AR
Zip	:	71854-5333
Country	:	US
Telephone Number	:	870-779-0411
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 PECAN ST
Second Line	:
City	:	TEXARKANA
State	:	AR
Zip	:	71854-5333
Country	:	US
Telephone Number	:	870-779-0411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2011
Last Update Date	:	08/15/2011

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