Provider Demographics
NPI:1316351463
Name:BARNETT, MARIYA (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIYA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIYA
Other - Middle Name:
Other - Last Name:VOLVOVSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5510 ABRAMS RD
Mailing Address - Street 2:#111
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2000
Mailing Address - Country:US
Mailing Address - Phone:214-373-9903
Mailing Address - Fax:
Practice Address - Street 1:5510 ABRAMS RD
Practice Address - Street 2:#111
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2000
Practice Address - Country:US
Practice Address - Phone:214-373-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2017-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29925122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist