NPI 1003987884 · live from the CMS NPI Registry
Kevin Gernon Eatmon, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Atlanta, GA. National Provider Identifier 1003987884, active.
NPI record
| NPI | 1003987884 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 275 14th St Nw Ste 100, Atlanta, GA 30318 |
| Practice phone | 404-254-0149 |
| Mailing address | 2931 Grey Moss Pass, Duluth, GA 30097 |
| Enumerated | November 13, 2006 |
| Last updated | October 28, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DNO12725 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.