Provider Demographics
NPI:1912105776
Name:BARKER, WILLIAM FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANK
Last Name:BARKER
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:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429-0033
Mailing Address - Country:US
Mailing Address - Phone:816-632-2822
Mailing Address - Fax:816-632-5245
Practice Address - Street 1:1801 N. WALNUT STREET
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:MO
Practice Address - Zip Code:64429-0033
Practice Address - Country:US
Practice Address - Phone:816-632-2822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO12061122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist