Individual provider · NPI-1

Douglas Steven Barnard, D.D.S.

Dentist, General Practice · Idaho Falls, ID

NPI number1760654487
StatusActive
Last updated in NPPESApr 2, 2008

Details

NPI
1760654487
Entity type
Individual (NPI-1)
Name
Douglas Steven Barnard
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2008
Last updated
Apr 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD3063IDYes

Practice location

640 S Woodruff Ave
Idaho Falls, ID 83401-5299

Phone 208-523-5400 · Fax 208-528-0565

Mailing address

640 S Woodruff Ave
Idaho Falls, ID 83401-5299

Phone 208-523-5400 · Fax 208-528-0565

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