Provider Demographics
NPI:1497295430
Name:CHRISTOPHER L BARNES DDS PA
Entity Type:Organization
Organization Name:CHRISTOPHER L BARNES DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-783-0990
Mailing Address - Street 1:670 W ARAPAHO RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4200
Mailing Address - Country:US
Mailing Address - Phone:972-783-0990
Mailing Address - Fax:
Practice Address - Street 1:670 W ARAPAHO RD
Practice Address - Street 2:SUITE 1
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4200
Practice Address - Country:US
Practice Address - Phone:972-783-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19314122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty