Bernell, Barry Alan
Bernell, Barry Alan is an sole proprietor health care provider with primary practice located at 14640 N Tatum Blvd Suite 1, Phoenix AZ 85032-4824. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Bernell, Barry Alan can be contacted via phone (602) 971-5570.Contact Information
Primary practice address
14640 N Tatum Blvd Suite 1
Phoenix AZ 85032-4824
Phone: (602) 971-5570
Fax: (602) 787-1639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 2121 | Arizona |
| Dental Providers / General Practice | 1223G0001X | 2121 | Arizona |
Profile Details
| NPI number | 1316113822 |
|---|---|
| LBN Legal business name | Bernell, Barry Alan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2008 |
| Last updated | May 8th, 2008 - about 18 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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