Provider Demographics
NPI:1801815873
Name:BARNES, ANNIE NGO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:NGO
Last Name:BARNES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANNIE
Other - Middle Name:NGO
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA491601223G0001X
WY12071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice