Provider Demographics
NPI:1316985864
Name:ALAN M BARNETT BDS ASSOCIATES
Entity type:Organization
Organization Name:ALAN M BARNETT BDS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:215-722-1414
Mailing Address - Street 1:7601 CASTOR AVENUE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-4026
Mailing Address - Country:US
Mailing Address - Phone:215-422-1414
Mailing Address - Fax:215-722-1466
Practice Address - Street 1:7601 CASTOR AVENUE
Practice Address - Street 2:SUITE 302
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-4026
Practice Address - Country:US
Practice Address - Phone:215-422-1414
Practice Address - Fax:215-722-1466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020824L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty