Provider Demographics
NPI:1770913220
Name:L.L. BARNETT DENTAL SOLUTIONS, P.C.
Entity type:Organization
Organization Name:L.L. BARNETT DENTAL SOLUTIONS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURENTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:256-837-1200
Mailing Address - Street 1:7185 HIGHWAY 72 W STE C
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6650
Mailing Address - Country:US
Mailing Address - Phone:256-837-1200
Mailing Address - Fax:256-837-9855
Practice Address - Street 1:7185 HIGHWAY 72 W STE C
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-6650
Practice Address - Country:US
Practice Address - Phone:256-837-1200
Practice Address - Fax:256-837-9855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5579261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental