Healthcare Provider Details

I. General information

NPI: 1851269005
Provider Name (Legal Business Name): MARGARET EASON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 N CHALKVILLE RD
TRUSSVILLE AL
35173-1376
US

IV. Provider business mailing address

125 N CHALKVILLE RD
TRUSSVILLE AL
35173-1376
US

V. Phone/Fax

Practice location:
  • Phone: 205-655-3939
  • Fax:
Mailing address:
  • Phone: 205-655-3939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD-0006923-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: