Provider Demographics
NPI:1467859538
Name:BARNES TMJ & SLEEP SOLUTIONS, PC
Entity Type:Organization
Organization Name:BARNES TMJ & SLEEP SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-530-7525
Mailing Address - Street 1:6700 LOOKOUT RD
Mailing Address - Street 2:STE 1
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3313
Mailing Address - Country:US
Mailing Address - Phone:303-530-7525
Mailing Address - Fax:303-530-2883
Practice Address - Street 1:6700 LOOKOUT RD
Practice Address - Street 2:STE 1
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3313
Practice Address - Country:US
Practice Address - Phone:303-530-7525
Practice Address - Fax:303-530-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty