Derek J Eaton in Gastonia - Oral And Maxillofacial Surgery
Derek J Eaton - NPI 1477649432
Derek J Eaton is a Oral And Maxillofacial Surgery in Gastonia, North Carolina. Derek J Eaton practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Derek J Eaton is 1477649432. The last update date is 2011-09-23.
Derek J Eaton's current location address is 660 Summit Crossing Pl, Gastonia, North Carolina. You can contact this provider via phone number 7048650081 and fax number 7048656004. The mailing address for Derek J Eaton is 660 Summit Crossing Pl, Gastonia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek J Eaton |
|---|---|
| Address | 660 Summit Crossing Pl, Gastonia, North Carolina |
| Phone Number | 7048650081 |
| Fax Number | 7048656004 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1477649432 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2011-09-23 |
Provider Mailing Address Detail
| Address | 660 Summit Crossing Pl |
|---|---|
| City | Gastonia |
| State | North Carolina (NC) |
| Post Code | 280542104 |
| Phone Number | 7048650081 |
| Fax Number | 7048656004 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 9225 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZX4005 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Derek J Eaton by the Centers for Medicare & Medicaid Services (CMS)?
The Derek J Eaton has been assigned the NPI (National Provider Identifier) 1477649432. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Derek J Eaton is located?
The Derek J Eaton is situated at the following address: 660 Summit Crossing Pl, Gastonia, NC, 280542104.
What is the Derek J Eaton's area of specialization and corresponding taxonomy classification?
The Derek J Eaton's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477649432 to Derek J Eaton?
The Centers for Medicare & Medicaid Services originally issued the 1477649432 to Derek J Eaton on 2006-10-05.
As of what date were the Derek J Eaton's details last updated?
The information pertaining to the Derek J Eaton, including its address, specialty, and other details, was most recently updated on 2011-09-23.
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