Provider Demographics
NPI:1174599807
Name:BARNES, THOMAS KENT (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KENT
Last Name:BARNES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:K
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PA
Mailing Address - Street 1:9390 E CENTRAL AVE
Mailing Address - Street 2:#100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2565
Mailing Address - Country:US
Mailing Address - Phone:316-636-5151
Mailing Address - Fax:316-636-9966
Practice Address - Street 1:9390 E CENTRAL AVE
Practice Address - Street 2:#100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2565
Practice Address - Country:US
Practice Address - Phone:316-636-5151
Practice Address - Fax:316-636-9966
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS49121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice