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Contact Information

DARRYL H EATON, DDS
798 RAYS RD STE 101
STONE MOUNTAIN, GA30083-3144
 Phone: 404-294-1050
 Fax: 404-294-4804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DARRYL H EATON · (Male)

NPI Number 1013084094
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/29/2006
Last updated 08/21/2008 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # DN010540
  • GA Medicaid 168950874A
  • GA Medicaid 168950874K
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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