Individual
DEREK C BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, P.A,
Contact information
Practice address
1422 ORCHARD LAKE DR # A, CHARLOTTE, NC 28270-1474
(704) 849-6700
(704) 849-6874
Mailing address
1422 ORCHARD LAKE DR # A, CHARLOTTE, NC 28270-1474
(704) 849-6700
(704) 849-6874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902TO
—
NC
Enumeration date
07/31/2006
Last updated
07/08/2007
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