Provider Demographics
NPI:1568408714
Name:BARON, ERNEST JOHN III (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:JOHN
Last Name:BARON
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 WATER ST
Mailing Address - Street 2:BLDG. L-1
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4124
Mailing Address - Country:US
Mailing Address - Phone:831-426-9200
Mailing Address - Fax:831-426-9275
Practice Address - Street 1:550 WATER ST.
Practice Address - Street 2:BLDG. L-1
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060
Practice Address - Country:US
Practice Address - Phone:831-426-9200
Practice Address - Fax:831-426-9275
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37627122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist