MEDICARE: DR. PETER R. BARNETT D.M.D.

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	:	1942203468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER R. BARNETT D.M.D.

Provider Business Mailing Address
First Line	:	5944 W PARKER RD
Second Line	:	STE 500
City	:	PLANO
State	:	TX
Zip	:	75093-6430
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	:	STE 500
City	:	PLANO
State	:	TX
Zip	:	75093-6430
Country	:	US
Telephone Number	:	972-943-5944
Fax Number	:	972-801-9005

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

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	07/08/2007

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