Provider Demographics
NPI:1427412691
Name:BARNETT, ALAN MORRIS (BDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MORRIS
Last Name:BARNETT
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 CASTOR AVENUE;
Mailing Address - Street 2:SUITE #302
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-4027
Mailing Address - Country:US
Mailing Address - Phone:215-722-1414
Mailing Address - Fax:215-722-1466
Practice Address - Street 1:7601 CASTOR AVENUE.
Practice Address - Street 2:SUITE #302
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-4027
Practice Address - Country:US
Practice Address - Phone:215-722-1414
Practice Address - Fax:215-722-1466
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020824L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics