Provider Demographics
NPI:1598171647
Name:JANA BARFIELD DMD PLLC
Entity Type:Organization
Organization Name:JANA BARFIELD DMD PLLC
Other - Org Name:CENTRAL ARKANSAS PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:501-517-8020
Mailing Address - Street 1:8000 HIGHWAY 107
Mailing Address - Street 2:SUITE 18
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-5202
Mailing Address - Country:US
Mailing Address - Phone:501-517-8020
Mailing Address - Fax:
Practice Address - Street 1:8000 HIGHWAY 107
Practice Address - Street 2:SUITE 18
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-5202
Practice Address - Country:US
Practice Address - Phone:501-517-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3618261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR164541608Medicaid