Provider Demographics
NPI:1619356144
Name:ANNIE NGO BARNES, DDS AND STEPHEN JAMES BARNES, DDS, INC.
Entity Type:Organization
Organization Name:ANNIE NGO BARNES, DDS AND STEPHEN JAMES BARNES, DDS, INC.
Other - Org Name:ARDEN OAKS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:NGO
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-485-5539
Mailing Address - Street 1:1741 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2104
Mailing Address - Country:US
Mailing Address - Phone:916-485-5539
Mailing Address - Fax:916-485-2701
Practice Address - Street 1:1741 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2104
Practice Address - Country:US
Practice Address - Phone:916-485-5539
Practice Address - Fax:916-485-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGNB32010-48671261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental