Eaton, Darryl H.

Eaton, Darryl H. is an sole proprietor health care provider with primary practice located at 798 Rays Rd Ste 101 , Stone Mountain GA 30083-3144. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eaton, Darryl H. can be contacted via phone (404) 294-1050.

Contact Information

Primary practice address
798 Rays Rd Ste 101 Stone Mountain GA 30083-3144
Phone: (404) 294-1050
Fax: (404) 294-4804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN010540 Georgia

Profile Details

NPI number 1013084094
LBN Legal business name Eaton, Darryl H.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Aug 21st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013084094 NPPES
Georgia MEDICAID 168950874A
Georgia MEDICAID 168950874K

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