Provider Demographics
NPI:1538239306
Name:BARNEY, CRAIG KENT (DMD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:KENT
Last Name:BARNEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7233 W DESCHUTES AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-6707
Mailing Address - Country:US
Mailing Address - Phone:509-374-4077
Mailing Address - Fax:509-374-2737
Practice Address - Street 1:7233 W DESCHUTES AVE
Practice Address - Street 2:SUITE E
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-6707
Practice Address - Country:US
Practice Address - Phone:509-374-4077
Practice Address - Fax:509-374-2737
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000102381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice