Roy Bruce Barnes, D.M.D – General Practice Dentistry

Key facts

NPI: 1013075738
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 5717 (KY)
Practice address: 1750 Alexandria Dr
1
Lexington, KY 40504-3100
Phone: (859) 277-1189
Fax: (859) 276-2719
NPI assigned: Dec 5, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

DRS. Barnes and Davis PSC General Practice Dentistry · Lexington, KY · NPI 1558429126

NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5717	KY	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
DRS. Barnes and Davis PSC	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	5717	KY	Yes

Addresses

Primary practice location

1750 Alexandria Dr
1
Lexington, KY 40504-3100

Mailing address

1750 Alexandria Dr
1
Lexington, KY 40504-3100
Phone (859) 277-1189

Other identifiers

Identifier	Type	State	Issuer
60057171	Medicaid	KY

Other providers in Lexington, KY

All providers in Lexington, KY · General Practice Dentistry in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.