Provider Demographics
NPI:1104220441
Name:BARNAR, GEDIZ (DDS)
Entity type:Individual
Prefix:DR
First Name:GEDIZ
Middle Name:
Last Name:BARNAR
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23681 VIA LINDA STE A
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-7882
Mailing Address - Country:US
Mailing Address - Phone:949-454-7474
Mailing Address - Fax:949-454-7477
Practice Address - Street 1:23681 VIA LINDA STE A
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-7882
Practice Address - Country:US
Practice Address - Phone:949-454-7474
Practice Address - Fax:949-454-7477
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA441441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1316187792Medicaid
CA1316187792OtherTYPE 2