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NPI Code Detail

MEDICARE: ERIC N EAKERS DDS A P C

MEDICARE: ERIC N EAKERS DDS A P C
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
11223G0001XGeneral Practice Dentistry4754OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1854021OTHEROKUNITED CONCORDIA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134393143
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC N EAKERS DDS A P C
Provider Business Mailing Address
First Line : 2805 N MARTIN LUTHER KING AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73111-3317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2805 N MARTIN LUTHER KING AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73111-3317
Country : US
Telephone Number : 405-424-0037
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. ERIC EAKERS
Credential : D.D.S
Telephone Number : 405-424-0037
Provider Enumeration Date : 04/22/2008
Last Update Date : 04/22/2008

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Directions to “ERIC N EAKERS DDS A P C ” Practice Location

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