Provider Demographics
NPI:1013146604
Name:PASTER, ERIC A (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:PASTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2320
Mailing Address - Country:US
Mailing Address - Phone:610-948-8518
Mailing Address - Fax:610-948-8316
Practice Address - Street 1:500 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-2320
Practice Address - Country:US
Practice Address - Phone:610-948-8518
Practice Address - Fax:610-948-8316
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-037840-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist