Healthcare Provider Details

I. General information

NPI: 1700740883
Provider Name (Legal Business Name): DESERT ROSE DENTAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 VETERANS PKWY
MURFREESBORO TN
37128
US

IV. Provider business mailing address

4310 VETERANS PKWY
MURFREESBORO TN
37128
US

V. Phone/Fax

Practice location:
  • Phone: 615-900-5704
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN MATTHEW BARKER
Title or Position: DENTIST-OWNER
Credential: DDS
Phone: 435-817-8350