Barnes, Breanna

Barnes, Breanna is an sole proprietor health care provider with primary practice located at 1439 Stillwater Ave Ste 7 , Cheyenne WY 82009-7367. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Barnes, Breanna can be contacted via phone (307) 778-7100.

Contact Information

Primary practice address
1439 Stillwater Ave Ste 7 Cheyenne WY 82009-7367
Phone: (307) 778-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 61240 Kansas
Dental Providers / Pediatric Dentistry 1223P0221X 61240 Kansas
Dental Providers / Pediatric Dentistry 1223P0221X 1507 Wyoming

Profile Details

NPI number 1174942122
LBN Legal business name Barnes, Breanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2014
Last updated Oct 30th, 2018 - about 7 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 1174942122 NPPES
Wyoming Other 004134062 UNITED CONCORDIA DENTAL

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