Provider Demographics
NPI:1285853812
Name:BARNES, ERNEST MOBLEY III (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:MOBLEY
Last Name:BARNES
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WHITESPORT DR. S. W.
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3473
Mailing Address - Country:US
Mailing Address - Phone:256-883-5771
Mailing Address - Fax:256-883-5772
Practice Address - Street 1:500 WHITESPORT DR SW
Practice Address - Street 2:SUITE 2
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3473
Practice Address - Country:US
Practice Address - Phone:256-883-5771
Practice Address - Fax:256-883-5772
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice