Healthcare Provider Details

I. General information

NPI: 1700985637
Provider Name (Legal Business Name): H. E. BARKER, JR., DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1178 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-1063
US

IV. Provider business mailing address

1178 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-1063
US

V. Phone/Fax

Practice location:
  • Phone: 256-586-3117
  • Fax: 256-586-3452
Mailing address:
  • Phone: 256-586-3117
  • Fax: 256-586-3452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2651
License Number StateAL

VIII. Authorized Official

Name: DR. HAMPTON E BARKER JR.
Title or Position: DENTIST/PRESIDENT
Credential: DMD
Phone: 256-586-3117