Barden, Jon Willis

Barden, Jon Willis is an sole proprietor health care provider with primary practice located at 2406 Bellevue Rd Suite 19, Dublin GA 31021-2842. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Barden, Jon Willis can be contacted via phone (478) 272-7250.

Contact Information

Primary practice address
2406 Bellevue Rd Suite 19 Dublin GA 31021-2842
Fax: (478) 272-7277
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7514 Georgia

Profile Details

NPI number 1316961162
LBN Legal business name Barden, Jon Willis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316961162 NPPES
Georgia MEDICAID 00044316A

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