Provider Demographics
NPI:1023498680
Name:BARNETTE, ELEANOR KAYE (DDS)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:KAYE
Last Name:BARNETTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 BELMONT PL
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-5500
Mailing Address - Country:US
Mailing Address - Phone:304-531-1059
Mailing Address - Fax:
Practice Address - Street 1:2201 22ND ST
Practice Address - Street 2:
Practice Address - City:NITRO
Practice Address - State:WV
Practice Address - Zip Code:25143-1728
Practice Address - Country:US
Practice Address - Phone:304-755-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV41641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice