Provider Demographics
NPI:1417026642
Name:BARNETT, RONALD C (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:C
Last Name:BARNETT
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 N MO PAC EXPY
Mailing Address - Street 2:#325
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8900
Mailing Address - Country:US
Mailing Address - Phone:512-343-0062
Mailing Address - Fax:
Practice Address - Street 1:7800 N MO PAC EXPY
Practice Address - Street 2:#325
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8900
Practice Address - Country:US
Practice Address - Phone:512-343-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113931223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics