Provider Demographics
NPI:1225254469
Name:BARRY D. MCNEW D.D.S., M.S., INC
Entity Type:Organization
Organization Name:BARRY D. MCNEW D.D.S., M.S., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCNEW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:903-454-2151
Mailing Address - Street 1:4818 WELLINGTON ST
Mailing Address - Street 2:SUITE 12
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-6010
Mailing Address - Country:US
Mailing Address - Phone:903-454-2151
Mailing Address - Fax:903-454-2157
Practice Address - Street 1:4818 WELLINGTON ST
Practice Address - Street 2:SUITE 12
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6010
Practice Address - Country:US
Practice Address - Phone:903-454-2151
Practice Address - Fax:903-454-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9349261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1223X0400XOtherORTHODONTIST