| Shannon Katharine Barnhart, DDS | |
|
4700 Las Vegas Blvd N, 99th Dental Squadron- Mofmc, Nellis Afb, NV 89191-6600 | |
| (702) 653-2761 | |
| Not Available |
| Full Name | Shannon Katharine Barnhart |
|---|---|
| Gender | Female |
| Speciality | Oral Surgery |
| Experience | 24 Years |
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932302486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 21091 (Texas) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 61785 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fresno Oral Maxillofacial Surgery And Dental Implant Center | 4981789377 | 6 |
| Entity Name | Fresno Oral Maxillofacial Surgery And Dental Implant Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750481735 PECOS PAC ID: 4981789377 Enrollment ID: O20080310000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Katharine Barnhart, DDS 11437 Valentino Ln, Las Vegas, NV 89138-7572 Ph: (702) 478-5504 | Shannon Katharine Barnhart, DDS 4700 Las Vegas Blvd N, 99th Dental Squadron- Mofmc, Nellis Afb, NV 89191-6600 Ph: (702) 653-2761 |
Francisco F. Gallardo Jr., DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2600 | |
Jessica Defazio, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Royden D Jones, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2600 | |
Daniel J Palazzolo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Brandon Chavez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2600 | |
Elizabeth Nguyen Palazzolo, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Val C Hagans, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2600 |