Provider Demographics
NPI:1861664633
Name:BARNES, REBECCA J (DMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:J
Last Name:BARNES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 BRECKSVILLE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:RICHFIELD
Mailing Address - State:OHIO
Mailing Address - Zip Code:44286
Mailing Address - Country:UM
Mailing Address - Phone:330-659-2395
Mailing Address - Fax:330-659-3468
Practice Address - Street 1:3807 BRECKSVILLE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:RICHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44286-9166
Practice Address - Country:US
Practice Address - Phone:330-659-2395
Practice Address - Fax:330-659-3468
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH223231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice