Provider Demographics
NPI:1083675888
Name:BARNEY, STEVEN DOUGLAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:BARNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6834 S. UNIVERSITY BLVD.
Mailing Address - Street 2:#134
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122
Mailing Address - Country:US
Mailing Address - Phone:310-377-0929
Mailing Address - Fax:310-377-0794
Practice Address - Street 1:6979 SOUTH HOLLY CIRCLE
Practice Address - Street 2:SUITE 105
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:720-638-3888
Practice Address - Fax:720-638-3887
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402071223P0106X
CO201794204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU75394Medicare UPIN