William G Eastburn DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AL4429 Issued in AL

Legal business name

WILLIAM G EASTBURN DMD INC

Practice address

5368 Zeigler Blvd
Mobile, AL 36608-4334

Phone

(251) 344-2126

Fax

(251) 344-2168

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Gerard Eastburn Sr.NPI 1285750067

Title

Owner /Dentist

Phone

(251) 344-2126

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Gerard Eastburn, DMD

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1285750067
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1497159826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5368 ZEIGLER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366084334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5368 ZEIGLER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366084334",
            "telephone_number": "251-344-2126",
            "fax_number": "251-344-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G EASTBURN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "EASTBURN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER /DENTIST",
        "authorized_official_telephone_number": "251-344-2126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL4429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009987090",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann H Wilkins
• Eleanor Katharine Wilkinson
• Aerial Willett
• Robert E Willett Jr., M.D.
• Robert McCulloch Willett
• Alexander Alan Williams
• Alexandria Elizabeth Williams
• Alexis Marie Williams
• Allicen Williams
• Amanda Lynn Williams, CRNP

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.