Amos Michael Barnes, D.M.D
Individual provider Active NPI General Practice Dentistry · Orange, NJ
NPI 1033310461 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1033310461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI01589000 (NJ)
- Practice address
- 462 S Harrison St
Orange, NJ 07050-3115 - Phone
- (973) 395-9151
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 22DI01589000 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI01589000 | NJ | |
| General Practice Dentistry |
1223G0001X | 22DI01589000 | NJ | Yes |
Addresses
Primary practice location
462 S Harrison St
Orange, NJ 07050-3115
Mailing address
462 S Harrison St
Orange, NJ 07050-3115
Phone (973) 395-9151
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All providers in Orange, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. 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.