Provider Demographics
NPI:1669679841
Name:BARNETT, ARLENE SLADE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:SLADE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6628 LAKE WORTH BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAKE WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-3018
Mailing Address - Country:US
Mailing Address - Phone:817-238-7984
Mailing Address - Fax:817-238-7306
Practice Address - Street 1:6628 LAKE WORTH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAKE WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-3018
Practice Address - Country:US
Practice Address - Phone:817-238-7984
Practice Address - Fax:817-238-7306
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice