Provider Demographics
NPI:1386042257
Name:DAVID EATON, DDS PC
Entity Type:Organization
Organization Name:DAVID EATON, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRELLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-420-4001
Mailing Address - Street 1:5610 WARD RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1309
Mailing Address - Country:US
Mailing Address - Phone:303-420-4001
Mailing Address - Fax:303-420-4001
Practice Address - Street 1:5610 WARD RD STE 120
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1309
Practice Address - Country:US
Practice Address - Phone:303-420-4001
Practice Address - Fax:303-420-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8045122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty