Provider Demographics
NPI:1770656654
Name:BARNES, DANA K (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:K
Last Name:BARNES
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 1:1601 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4928
Mailing Address - Country:US
Mailing Address - Phone:307-635-0217
Mailing Address - Fax:307-634-6808
Practice Address - Street 1:1601 E 19TH ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4928
Practice Address - Country:US
Practice Address - Phone:307-635-0217
Practice Address - Fax:307-634-6808
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY7071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice