Thomas W Eaton, DDS
Individual provider Active NPI General Practice Dentistry · Ione, CA
NPI 1013020106 · NPPES record last updated Jan 31, 2020
Key facts
- NPI
- 1013020106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 034693 (CA)
- Practice address
- 15 W. Main St
Ione, CA 95640-9598 - Phone
- (209) 274-2429
- Fax
- (209) 274-0569
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034693 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 034693 | CA | Yes |
Addresses
Primary practice location
15 W. Main St
Ione, CA 95640-9598
Mailing address
PO Box 1026
Ione, CA 95640
Phone (209) 274-2429
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All providers in Ione, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.