Dan Terry Barnes Jr., D.M.D.
Individual provider Active NPI General Practice Dentistry · Branford, FL
NPI 1811026164 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811026164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN 10874 (FL)
- Practice address
- 110 Suwannee Ave SW
110 SW Suwannee Avenue
Branford, FL 32008-2749 - Phone
- (386) 935-0988
- Fax
- (386) 935-0989
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| DN 1040 | AK | MD | General Practice Dentistry |
| DN 10874 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan Terry Barnes DMD and Melissa Anderson-Barnes DMD PA | General Practice | Past | Accepting new patients |
| Melanie L Kemmerer, DMD, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 10874 | FL | Yes |
| General Practice Dentistry | 1223G0001X | DN 1040 | AK |
Addresses
Primary practice location
110 Suwannee Ave SW
110 SW Suwannee Avenue
Branford, FL 32008-2749
Mailing address
PO Box 930
110 SW Suwannee Avenue
Branford, FL 32008-0930
Phone (386) 935-0988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD 4603 | Medicaid | AK |
Other providers in Branford, FL
- Ajm Transport Company LLC
- Melissa Dee Anderson-Barnes
- Bienvenido M. Samera, M.D., P.a.
- La-Sheria Lamarra Bradley
- Branford Family Medical Center Inc
- Lillian Prine Byrd
- James Joseph Cartwright
All providers in Branford, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.