Healthcare Provider Details

I. General information

NPI: 1265056477
Provider Name (Legal Business Name): BRANDON KEITH BARNETT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 310
HOUSTON TX
77030-3004
US

IV. Provider business mailing address

6410 FANNIN ST STE 310
HOUSTON TX
77030-3004
US

V. Phone/Fax

Practice location:
  • Phone: 888-488-3627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number38006
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: