Provider Demographics
NPI:1306824370
Name:EAPEN, BINU ABEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BINU
Middle Name:ABEY
Last Name:EAPEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 GRISWOLD RD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2304
Mailing Address - Country:US
Mailing Address - Phone:440-324-2310
Mailing Address - Fax:440-324-9454
Practice Address - Street 1:435 GRISWOLD RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2304
Practice Address - Country:US
Practice Address - Phone:440-324-2310
Practice Address - Fax:440-324-9454
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH215871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice