Provider Demographics
NPI:1912093386
Name:BARNETT, NANCY ANN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E SILVER SPRING DR
Mailing Address - Street 2:SUITE 238
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5274
Mailing Address - Country:US
Mailing Address - Phone:414-332-6169
Mailing Address - Fax:414-332-6016
Practice Address - Street 1:316 E SILVER SPRING DR
Practice Address - Street 2:SUITE 238
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-5274
Practice Address - Country:US
Practice Address - Phone:414-332-6169
Practice Address - Fax:414-332-6016
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2946-0151223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics