Dr. Derek J Eaton
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
660 Summit Crossing Pl Suite 303
Gastonia
, North Carolina 28054-2104
Dr. Derek J Eaton
Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
660 Summit Crossing Pl Suite 303
Gastonia
, North Carolina 28054-2104
(704) 865-6004
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About
Features
Specialties
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Derek J Eaton
- 660 Summit Crossing Pl Suite 303
- Gastonia, NC
- Zip : 28054-2104
- Fax : (704) 865-6004
- Phone : (704) 865-0081
Second Address
- Dr. Derek J Eaton
- 660 Summit Crossing Pl Suite 303
- Gastonia, NC
- Zip : 28054-2104
- Fax : (704) 865-6004
- Phone : (704) 865-0081
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 4005 | SC |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 9225 | NC |
National Provider Identifier
| NPI | 1477649432 |
|---|---|
| Provider Name | Dr. Derek J Eaton |
| First Address | Gastonia, NC 28054-2104 |
| Second Address | Gastonia, NC 28054-2104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 23/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ZX4005 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.