Provider Demographics
NPI:1558587907
Name:EIGHMEY, DARRYL L (D D S)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:L
Last Name:EIGHMEY
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-1857
Mailing Address - Country:US
Mailing Address - Phone:734-242-8231
Mailing Address - Fax:734-242-8237
Practice Address - Street 1:709 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-1857
Practice Address - Country:US
Practice Address - Phone:734-242-8231
Practice Address - Fax:734-242-8237
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010120201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice