1003083577 NPI number — SMILES OF ARKANSAS DENTAL CENTER, PLLC

Table of content: SARAH JOY BARNETTE M.D. (NPI 1386089522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003083577 NPI number — SMILES OF ARKANSAS DENTAL CENTER, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SMILES OF ARKANSAS DENTAL CENTER, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003083577
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 W 18TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOPE
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
71801-8103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-777-6453
Provider Business Mailing Address Fax Number:
870-777-9083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 W 18TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOPE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
71801-8103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-777-6453
Provider Business Practice Location Address Fax Number:
870-777-9083
Provider Enumeration Date:
05/13/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SHUFFIELD
Authorized Official First Name:
GARLAND
Authorized Official Middle Name:
REESE
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
870-777-6453

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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