NPI 1063529337

Chad John Barney, DMD

Practitioner General Practice Dentistry Lewiston, ID

Practice location

Address: 328 Saint Johns Way, Lewiston, ID 83501-2451
Phone: (208) 746-1771
Fax: (208) 798-1586
Mailing address: 611 25th Ave, Lewiston, ID 83501-3851

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D-3147 (ID)

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Registry record

NPI: 1063529337
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.