Individual
DR. CHARLES L BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4 CHARLESTON PLZ, CHARLESTON, MO 63834-4302
(573) 683-2122
(573) 683-4174
Mailing address
PO BOX 9, 4 CHARLESTON PLZ, CHARLESTON, MO 63834-0009
(573) 683-2122
(573) 683-4174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015014
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402714406
—
MO
Enumeration date
06/30/2006
Last updated
03/03/2009
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