National Provider Identifier Database

DEREK J EATON DDS PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

DEREK J EATON DDS PLLC
660 SUMMIT CROSSING PL
SUITE 303
GASTONIA, NC28054-2104
Phone: 704-865-0081
Fax: 704-865-6004
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for DEREK J EATON DDS PLLC

NPI Number 1639456486
Legal business name
LBN
DEREK J EATON DDS PLLC
Authorized official DEREK EATON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/08/2011
Last updated 08/28/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 9225

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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