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NPI Code Detail

MEDICARE: DR. BROOKLYN ELIZABETH EASON DDS

MEDICARE:  DR. BROOKLYN ELIZABETH EASON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist4683AR

General Provider Information

NPI Number : 1821773599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BROOKLYN ELIZABETH EASON DDS
Provider Business Mailing Address
First Line : 181 W MAIN ST
Second Line :
City : FARMINGTON
State : AR
Zip : 72730-2945
Country : US
Telephone Number : 479-267-5009
Fax Number :
Provider Business Practice Location Address
First Line : 1607 MAIN ST
Second Line :
City : VAN BUREN
State : AR
Zip : 72956-4735
Country : US
Telephone Number : 479-474-7076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 07/28/2025

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Directions to “ DR. BROOKLYN ELIZABETH EASON DDS” Practice Location

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