Provider Demographics
NPI:1346233343
Name:BARRESI, JANET C (DDS)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:C
Last Name:BARRESI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11016 QUAIL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-6207
Mailing Address - Country:US
Mailing Address - Phone:405-755-9014
Mailing Address - Fax:405-749-9408
Practice Address - Street 1:11016 QUAIL CREEK RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-6207
Practice Address - Country:US
Practice Address - Phone:405-755-9014
Practice Address - Fax:405-749-9408
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK45711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice