Provider Demographics
NPI:1467558494
Name:EPSTEIN, ERIC B (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 LINTON BLVD
Mailing Address - Street 2:SUITE 8A
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6503
Mailing Address - Country:US
Mailing Address - Phone:561-495-0096
Mailing Address - Fax:561-495-2221
Practice Address - Street 1:4801 LINTON BLVD
Practice Address - Street 2:SUITE 8A
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6503
Practice Address - Country:US
Practice Address - Phone:561-495-0096
Practice Address - Fax:561-495-2221
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL139661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice