Provider Demographics
NPI:1093321531
Name:BARNETT DENTAL INC
Entity Type:Organization
Organization Name:BARNETT DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EIDEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-712-9715
Mailing Address - Street 1:7962 SUNWOOD DR NW STE 200
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-5172
Mailing Address - Country:US
Mailing Address - Phone:763-712-9715
Mailing Address - Fax:
Practice Address - Street 1:7962 SUNWOOD DR NW STE 200
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-5172
Practice Address - Country:US
Practice Address - Phone:763-712-9715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental