Provider Demographics
NPI:1881907988
Name:BABSTON, MICHAEL (DMD, MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:BABSTON
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 DOWNTOWNER BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5401
Mailing Address - Country:US
Mailing Address - Phone:251-471-3381
Mailing Address - Fax:251-471-3383
Practice Address - Street 1:100 S UNIVERSITY BLVD BLDG A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3043
Practice Address - Country:US
Practice Address - Phone:251-288-8844
Practice Address - Fax:251-283-0488
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-17
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5787 C1122300000X
MS4192-211223S0112X
LA72761223S0112X
AL57871223S0112X, 204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No122300000XDental ProvidersDentist
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery