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General NPI Number Information
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NPI Number | 1316542350
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Entity Type | Organization
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Legal Business Name | BARNETT DALLAS PERIODONTICS PLLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 8401 N CENTRAL EXPY STE 200
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City | DALLAS
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State | TX
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Zip | 75225-4423
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Country | US
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Telephone | 214-691-2614
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 N CENTRAL EXPY STE 200
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City | DALLAS
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State | TX
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Zip | 75225-4423
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Country | US
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Telephone | 214-691-2614
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Fax |
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Authorized Official
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Title or Position | OWNER / MEMBER
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Name | DR. ANDREW SCOTT BARNETT
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Credential | DMD, MS
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Telephone | 214-691-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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