Provider Demographics
NPI:1952334898
Name:BARNES, WILLIAM W (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:W
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 1:546 W SEMINARY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76115-1361
Mailing Address - Country:US
Mailing Address - Phone:817-924-0091
Mailing Address - Fax:
Practice Address - Street 1:546 W SEMINARY DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76115-1361
Practice Address - Country:US
Practice Address - Phone:817-924-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX51199OtherUNITED CONCORDIA INS
TXG60130-01OtherCHIPS
TXM430OtherBLUE CROSS/BLUE SHIELD