Provider Demographics
NPI:1740975564
Name:NOAH H BARNES DMD PA
Entity type:Organization
Organization Name:NOAH H BARNES DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:HARDEE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:850-602-1994
Mailing Address - Street 1:3961 SPANISH TRL
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4802
Mailing Address - Country:US
Mailing Address - Phone:850-434-1009
Mailing Address - Fax:850-434-3233
Practice Address - Street 1:3961 SPANISH TRL
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-4802
Practice Address - Country:US
Practice Address - Phone:850-434-1009
Practice Address - Fax:850-434-3233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty