Provider Demographics
NPI:1407987878
Name:SHUGARS, ERIC THOMAS (DDS, MS)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:THOMAS
Last Name:SHUGARS
Suffix:
Gender:M
Credentials:DDS, MS
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:497 COLUMBIA AVE E STE 14
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-5463
Mailing Address - Country:US
Mailing Address - Phone:269-660-0747
Mailing Address - Fax:269-441-2736
Practice Address - Street 1:497 COLUMBIA AVE E STE 14
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5463
Practice Address - Country:US
Practice Address - Phone:269-660-0747
Practice Address - Fax:269-441-2736
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010165721223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics