Provider Demographics
NPI:1942203468
Name:BARNETT, PETER R (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:R
Last Name:BARNETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5944 W PARKER RD
Mailing Address - Street 2:STE 500
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6430
Mailing Address - Country:US
Mailing Address - Phone:972-943-5944
Mailing Address - Fax:972-801-9005
Practice Address - Street 1:5944 W PARKER RD
Practice Address - Street 2:STE 500
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6430
Practice Address - Country:US
Practice Address - Phone:972-943-5944
Practice Address - Fax:972-801-9005
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice