Individual
AMOS MICHAEL BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
462 S HARRISON ST, ORANGE, NJ 07050-3115
(973) 395-9151
Mailing address
462 S HARRISON ST, ORANGE, NJ 07050-3115
(973) 395-9151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01589000
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI01589000
NJ
Other
Enumeration date
05/31/2007
Last updated
10/03/2024
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