Provider Demographics
NPI:1578971669
Name:DONALD A. EBERHART, DDS, PLLC
Entity Type:Organization
Organization Name:DONALD A. EBERHART, DDS, PLLC
Other - Org Name:DENTAL ARTS OF SURPRISE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:EBERHART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-547-5400
Mailing Address - Street 1:14815 W BELL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7611
Mailing Address - Country:US
Mailing Address - Phone:623-547-5400
Mailing Address - Fax:623-792-8734
Practice Address - Street 1:14815 W BELL RD STE 202
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7611
Practice Address - Country:US
Practice Address - Phone:623-547-5400
Practice Address - Fax:623-792-8734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty