Barnes Family Dentistry
Organization Active NPI General Practice Dentistry · Hattiesburg, MS
NPI 1144345299 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1144345299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3248-03 (MS)
- Legal business name
- BARNES FAMILY DENTISTRY
- Practice address
- 5489 Highway 42
Hattiesburg, MS 39401-1415 - Phone
- (601) 545-7055
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carletta Yalonda Barnes-Ekunwe, D.M.D.
- Title
- President
- Phone
- (601) 545-7055
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Barnes Family Dentistry
Locations
5910 U S Highway 49
Ste 15
Hattiesburg, MS 39401
Phone (601) 544-9111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 3248-03 | MS | Yes |
Addresses
Primary practice location
5489 Highway 42
Hattiesburg, MS 39401-1415
Mailing address
5910 U S Highway 49 Ste 15
Hattiesburg, MS 39401-7585
Phone (601) 545-7055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09823388 | Medicaid | MS |
Other providers in Hattiesburg, MS
- Olivia Wynn Barker
- Kimberly M. Barlow
- Barbara S Barnard
- Olivia Lynn Barnard
- Ladonna Barner
- Barnes Family Dentistry
- Barnes Family Dentistry, PA
- Bethany Barnes
- Caroline Estes Barnes
- Casie Barnes
All providers in Hattiesburg, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.