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NPI 1851096739

NPI 1851096739 : BREANNA M BARNES DMD PLLC : FAIRVIEW, TN

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General NPI Number Information
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    NPI Number           |    1851096739
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    Entity Type          |    Organization 
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    Legal Business Name  |    BREANNA M BARNES DMD PLLC 
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Dates
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    Enumeration Date     |    03/31/2023
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    2241 FAIRVIEW BLVD 
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    City                 |    FAIRVIEW
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    State                |    TN
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    Zip                  |    37062-9070
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    Country              |    US
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    Telephone            |    913-522-8273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1194 GRAFTON DR 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37069-4004
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    Country              |    US
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    Telephone            |    913-522-8273
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BREANNA  BARNES 
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    Credential           |    
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    Telephone            |    913-522-8273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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