Provider Demographics
NPI:1790826493
Name:BARFIELD, GORDON D (DDS)
Entity Type:Individual
Prefix:
First Name:GORDON
Middle Name:D
Last Name:BARFIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2295 PARKLAKE DR NE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2844
Mailing Address - Country:US
Mailing Address - Phone:770-939-1280
Mailing Address - Fax:770-939-1280
Practice Address - Street 1:2295 PARKLAKE DR NE
Practice Address - Street 2:SUITE 250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2844
Practice Address - Country:US
Practice Address - Phone:770-939-1280
Practice Address - Fax:770-939-1280
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2016-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5891122300000X
VA04010077611223G0001X
GADN0138401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice