Provider Demographics
NPI:1124042932
Name:NEASE, ERIC RAY (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:RAY
Last Name:NEASE
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1415
Mailing Address - Country:US
Mailing Address - Phone:864-579-7700
Mailing Address - Fax:864-579-7703
Practice Address - Street 1:2455 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1415
Practice Address - Country:US
Practice Address - Phone:864-579-7700
Practice Address - Fax:864-579-7703
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0036411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics