Provider Demographics
NPI:1215591573
Name:BARSNESS, TIANA M (DDS)
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:M
Last Name:BARSNESS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 1ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56334-1718
Mailing Address - Country:US
Mailing Address - Phone:320-808-6276
Mailing Address - Fax:
Practice Address - Street 1:1915 COUNTY ROAD D E
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-5309
Practice Address - Country:US
Practice Address - Phone:651-779-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND141651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry