Provider Demographics
NPI:1073622965
Name:BARNES, RICHARD WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WILLIAM
Last Name:BARNES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 S MOONEY BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-6203
Mailing Address - Country:US
Mailing Address - Phone:559-734-6750
Mailing Address - Fax:559-734-4950
Practice Address - Street 1:2626 S MOONEY BLVD
Practice Address - Street 2:STE. B
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-6203
Practice Address - Country:US
Practice Address - Phone:559-734-6750
Practice Address - Fax:559-734-4950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38644122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist