Provider Demographics
NPI:1275017733
Name:GOLIAD DENTAL PLLC
Entity Type:Organization
Organization Name:GOLIAD DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARNEY
Authorized Official - Middle Name:MALCOLM
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-771-9131
Mailing Address - Street 1:703 S GOLIAD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3935
Mailing Address - Country:US
Mailing Address - Phone:972-771-9131
Mailing Address - Fax:972-772-6980
Practice Address - Street 1:703 S GOLIAD ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-3935
Practice Address - Country:US
Practice Address - Phone:972-771-9131
Practice Address - Fax:972-772-6980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental