Provider Demographics
NPI:1316901325
Name:BARNA, JEFFREY ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ANDREW
Last Name:BARNA
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 1:10615 N HAYDEN RD STE C-104
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5734
Mailing Address - Country:US
Mailing Address - Phone:804-905-7171
Mailing Address - Fax:
Practice Address - Street 1:10615 N HAYDEN RD STE C-104
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5734
Practice Address - Country:US
Practice Address - Phone:804-905-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice