Provider Demographics
NPI:1295147320
Name:TURNER, ERIC DAVID JR (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DAVID
Last Name:TURNER
Suffix:JR
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 1:2617 YOUNGBLOOD ST APT 9207
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-6068
Mailing Address - Country:US
Mailing Address - Phone:610-299-7094
Mailing Address - Fax:
Practice Address - Street 1:1620 OAKHURST COMMONS DRIVE
Practice Address - Street 2:SUITE 303
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205
Practice Address - Country:US
Practice Address - Phone:610-299-7094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-23
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039900122300000X
NC11619122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist