Provider Demographics
NPI:1225032154
Name:BARNETT, SCOTT D (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:BARNETT
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 1:5604 COLLEYVILLE BLVD
Mailing Address - Street 2:STE K
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-6036
Mailing Address - Country:US
Mailing Address - Phone:817-427-9176
Mailing Address - Fax:
Practice Address - Street 1:5604 COLLEYVILLE BLVD
Practice Address - Street 2:STE K
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6036
Practice Address - Country:US
Practice Address - Phone:817-427-9176
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX161281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice