Provider Demographics
NPI:1922197128
Name:BARNHART, KEVIN W (DDS ORAL & MAXILLOFA)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:W
Last Name:BARNHART
Suffix:
Gender:M
Credentials:DDS ORAL & MAXILLOFA
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Other - First Name:
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Mailing Address - Street 1:12395 EL CAMINO REAL
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3082
Mailing Address - Country:US
Mailing Address - Phone:858-793-3393
Mailing Address - Fax:858-793-3383
Practice Address - Street 1:12395 EL CAMINO REAL
Practice Address - Street 2:SUITE 304
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3082
Practice Address - Country:US
Practice Address - Phone:858-793-3393
Practice Address - Fax:858-793-3383
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2012-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA543791223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery