MEDICARE: DR. ANNETTE LANORE BARBER DDS

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	1223G0001X	General Practice Dentistry	5952	KS

General Provider Information

NPI Number	:	1275508376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE LANORE BARBER DDS

Provider Business Mailing Address
First Line	:	9501 STATE AVE
Second Line	:	#7
City	:	KANSAS CITY
State	:	KS
Zip	:	66111
Country	:	US
Telephone Number	:	913-788-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	9501 STATE AVE
Second Line	:	#7
City	:	KANSAS CITY
State	:	KS
Zip	:	66111
Country	:	US
Telephone Number	:	913-788-0800
Fax Number	:	913-788-4390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	07/08/2007

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