Individual
JON WILLIS BARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2406 BELLEVUE RD, SUITE 19, DUBLIN, GA 31021-2842
(478) 272-7250
(478) 272-7277
Mailing address
2406 BELLEVUE RD, SUITE 19, DUBLIN, GA 31021-2842
(478) 272-7250
(478) 272-7277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00044316A
—
GA
Enumeration date
07/26/2006
Last updated
07/08/2007
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