MEDICARE: DONNA J BAREFIELD DDS PC

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	1223P0221X	Pediatric Dentistry	11821	TX

General Provider Information

NPI Number	:	1174775381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONNA J BAREFIELD DDS PC

Provider Business Mailing Address
First Line	:	400 E HIGHWAY 67
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-4157
Country	:	US
Telephone Number	:	214-339-5150
Fax Number	:	214-339-5151

Provider Business Practice Location Address
First Line	:	400 E HIGHWAY 67
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-4157
Country	:	US
Telephone Number	:	214-339-5150
Fax Number	:	214-339-5151

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DONNA J BAREFIELD
Credential	:	DDS, MSD
Telephone Number	:	214-339-5150

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/21/2008

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