Provider Demographics
NPI:1841344157
Name:BARNES, KARRY B (DDS)
Entity type:Individual
Prefix:
First Name:KARRY
Middle Name:B
Last Name:BARNES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 N CARRIER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5463
Mailing Address - Country:US
Mailing Address - Phone:972-642-1276
Mailing Address - Fax:972-642-1279
Practice Address - Street 1:625 N CARRIER PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5463
Practice Address - Country:US
Practice Address - Phone:972-642-1276
Practice Address - Fax:972-642-1279
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice