DEREK J EATON DDS PLLC; NPI #1639456486

Contact Information

DEREK J EATON DDS PLLC

660 SUMMIT CROSSING PL
SUITE 303
GASTONIA, NC 28054-2104

Phone: 704-865-0081
Fax: 704-865-6004
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for DEREK J EATON DDS PLLC

NPI # 1639456486

LBN Legal business name DEREK J EATON DDS PLLC

Authorized official DEREK EATON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/08/2011

Last updated 08/28/2012 - About 14 years ago

Identifiers

License #

9225

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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