MEDICARE: DAVID WERNER BARNETT DDS, MD, LLC

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1760777288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID WERNER BARNETT DDS, MD, LLC

Provider Business Mailing Address
First Line	:	7341 JEFFERSON HWY
Second Line	:	SUITE A
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-8203
Country	:	US
Telephone Number	:	225-926-5301
Fax Number	:	225-924-2677

Provider Business Practice Location Address
First Line	:	7341 JEFFERSON HWY
Second Line	:	SUITE A
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-8203
Country	:	US
Telephone Number	:	225-926-5301
Fax Number	:	225-924-2677

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. DAVID WERNER BARNETT
Credential	:	DDS, MD
Telephone Number	:	502-714-9329

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	06/13/2011

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