MEDICARE: ALAN M BARNETT BDS ASSOCIATES

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	1223E0200X	Endodontics	DS020824L	PA

General Provider Information

NPI Number	:	1316985864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN M BARNETT BDS ASSOCIATES

Provider Business Mailing Address
First Line	:	7601 CASTOR AVENUE
Second Line	:	SUITE 302
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-4026
Country	:	US
Telephone Number	:	215-422-1414
Fax Number	:	215-722-1466

Provider Business Practice Location Address
First Line	:	7601 CASTOR AVENUE
Second Line	:	SUITE 302
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-4026
Country	:	US
Telephone Number	:	215-422-1414
Fax Number	:	215-722-1466

Authorized Official
Title or Position	:	OWNER SOLE PROPRIETOR
Name	:	DR. ALAN MORRIS BARNETT
Credential	:	BDS
Telephone Number	:	215-722-1414

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	10/07/2015

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