Organization
BARNES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLETTA YALONDA BARNES-EKUNWE D.M.D. (PRESIDENT)
(601) 545-7055
Entity
Organization
Contact information
Practice address
5489 HIGHWAY 42, HATTIESBURG, MS 39401-1415
(601) 545-7055
Mailing address
5910 U S HIGHWAY 49 STE 15, HATTIESBURG, MS 39401-7585
(601) 545-7055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3248-03
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09823388
—
MS
Enumeration date
03/20/2007
Last updated
08/22/2020
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