MEDICARE: PETER R. BARNETT, DMD, P.A.

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	21618	TX

General Provider Information

NPI Number	:	1598983983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER R. BARNETT, DMD, P.A.

Provider Business Mailing Address
First Line	:	5944 W PARKER RD
Second Line	:	SUITE 500
City	:	PLANO
State	:	TX
Zip	:	75093-6421
Country	:	US
Telephone Number	:	972-943-5944
Fax Number	:	972-801-9005

Provider Business Practice Location Address
First Line	:	5944 W PARKER RD
Second Line	:	SUITE 500
City	:	PLANO
State	:	TX
Zip	:	75093-6421
Country	:	US
Telephone Number	:	972-943-5944
Fax Number	:	972-801-9005

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER R BARNETT
Credential	:	DMD
Telephone Number	:	972-943-5944

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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