Barrett, Robert Lester

Barrett, Robert Lester is an sole proprietor health care provider with primary practice located at 2802 Highway 367 N , Bald Knob AR 72010-3165. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Barrett, Robert Lester can be contacted via phone (870) 724-6207.

Contact Information

Primary practice address
2802 Highway 367 N Bald Knob AR 72010-3165
Phone: (870) 724-6207
Fax: (870) 347-3492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2146 (17) Arkansas
Dental Providers / Dentist 122300000X 2146 Arkansas

Profile Details

NPI number 1417002106
LBN Legal business name Barrett, Robert Lester
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Oct 5th, 2011 - about 14 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 1417002106 NPPES
Arkansas MEDICAID 101731608

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