Provider Demographics
NPI:1437325230
Name:JAMES H EAKER DDS PA
Entity Type:Organization
Organization Name:JAMES H EAKER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HAMILTON
Authorized Official - Last Name:EAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-544-5620
Mailing Address - Street 1:4208 S ALSTON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2218
Mailing Address - Country:US
Mailing Address - Phone:919-544-5620
Mailing Address - Fax:919-361-0652
Practice Address - Street 1:4208 S ALSTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2218
Practice Address - Country:US
Practice Address - Phone:919-544-5620
Practice Address - Fax:919-361-0652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5388261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental