Provider Demographics
NPI:1578531786
Name:BARNETT, TERRY LEE (DDS)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:LEE
Last Name:BARNETT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7962 SUNWOOD DR NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303
Mailing Address - Country:US
Mailing Address - Phone:763-712-9715
Mailing Address - Fax:763-712-9719
Practice Address - Street 1:7962 SUNWOOD DR NW
Practice Address - Street 2:SUITE 200
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303
Practice Address - Country:US
Practice Address - Phone:763-712-9715
Practice Address - Fax:763-712-9719
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11678122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist