Provider Demographics
NPI:1538336870
Name:BARNETT, RICHARD L (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:BARNETT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:BARNETT
Other - Middle Name:
Other - Last Name:ORTHODONTICS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:150 E 200 N
Mailing Address - Street 2:P O BOX 666
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-2144
Mailing Address - Country:US
Mailing Address - Phone:435-896-4930
Mailing Address - Fax:435-896-8035
Practice Address - Street 1:150 E 200 N
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-2144
Practice Address - Country:US
Practice Address - Phone:435-896-4930
Practice Address - Fax:435-896-8035
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT144230-99211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics