Active NPI
Robert W. Eisberg II, DDS, PA
- General Practice Dentistry
- Garner, NC
National Provider Identifier
1053579458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8267
- Legal business name
- ROBERT W. EISBERG II, DDS, PA
- Practice address
- 2630 Timber Dr
Garner, NC 27529-2571 - Phone
- (919) 878-1810
- Fax
- (919) 878-1840
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert William Eisberg II, DDS
- Title
- President/Owner
- Phone
- (919) 878-1810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8267 | NC | Primary |
Addresses
Primary practice location
2630 Timber Dr
Garner, NC 27529-2571
Mailing address
2630 Timber Dr
Garner, NC 27529-2571
Phone (919) 878-1810
Other names 1
- Atlantic Family Dental
National Provider Directory
National Provider DirectoryLocations
2630 Timber Dr
Garner, NC 27529
Phone (336) 287-4607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Durham, NC
- NPI 1104356625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343952000000",
"number": "1053579458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 TIMBER DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275292571",
"telephone_number": "919-878-1810",
"fax_number": "919-878-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 TIMBER DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275292571",
"telephone_number": "919-878-1810",
"fax_number": "919-878-1840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT W. EISBERG II, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2012-08-03",
"status": "A",
"authorized_official_last_name": "EISBERG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "919-878-1810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlantic Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.