Provider Demographics
NPI:1588739635
Name:BARNES, JANEL KATHLEEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JANEL
Middle Name:KATHLEEN
Last Name:BARNES
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 1:8108 MARKET ST.
Mailing Address - Street 2:SUITE A
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411
Mailing Address - Country:US
Mailing Address - Phone:910-686-0034
Mailing Address - Fax:910-681-0135
Practice Address - Street 1:8108 MARKET ST.
Practice Address - Street 2:SUITE A
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411
Practice Address - Country:US
Practice Address - Phone:910-686-0034
Practice Address - Fax:910-681-0135
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-90353Medicaid
NC90353OtherBCBS PROVIDER #