Provider Demographics
NPI:1467645358
Name:BARNES, ERIC DONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DONALD
Last Name:BARNES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1307 ESPLANADE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3357
Mailing Address - Country:US
Mailing Address - Phone:530-831-0207
Mailing Address - Fax:530-645-1522
Practice Address - Street 1:1307 ESPLANADE
Practice Address - Street 2:SUITE 1
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3357
Practice Address - Country:US
Practice Address - Phone:530-831-0207
Practice Address - Fax:530-645-1522
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA515491223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery