Organization
DEREK C BARNES DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK C BARNES D.M.D (DOCTOR)
(704) 849-6700
Entity
Organization
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
—
89902T0
—
NC
Enumeration date
05/17/2007
Last updated
08/22/2020
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