Provider Demographics
NPI:1477845014
Name:SAMUEL E. BARNHART III D. D. S., P.C.
Entity Type:Organization
Organization Name:SAMUEL E. BARNHART III D. D. S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:573-455-2710
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:1875 HWY 63
Mailing Address - City:WESTPHALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65085-0158
Mailing Address - Country:US
Mailing Address - Phone:573-455-2710
Mailing Address - Fax:
Practice Address - Street 1:1875 HIGHWAY 63
Practice Address - Street 2:
Practice Address - City:WESTPHALIA
Practice Address - State:MO
Practice Address - Zip Code:65085-2215
Practice Address - Country:US
Practice Address - Phone:573-455-2710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO013184261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental