Cotter & Easton General Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COTTER & EASTON GENERAL DENTISTRY, PLLC

Practice address

1125 Thomas Edison Dr
Port Huron, MI 48060-8500

Phone

(810) 982-9821

Fax

(810) 982-9645

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Waldemar Easton II II, DDS

Title

Partner Dentist

Phone

(810) 357-5683

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David R Bolla, D.D.S.

  • General Practice Dentistry
  • Port Huron, MI
  • NPI 1366658171
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1538724828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 THOMAS EDISON DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480608500",
            "telephone_number": "810-982-9821",
            "fax_number": "810-982-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 THOMAS EDISON DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480608500",
            "telephone_number": "810-982-9821",
            "fax_number": "810-982-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTER & EASTON GENERAL DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "EASTON II",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WALDEMAR",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "810-357-5683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Performance Chiropractic PLLC
• Courtney Cornwall
• Maleigha Coronado, LLMSW
• Nicholas Cortis
• Ricardo Cottengim
• James P Cotter, D.D.S.
• County of St Clair (St Clair County Health Department)
• Thomas Allan Coury, M.D.
• Wendy T Covrea, INTERN
• Stephanie Katherine Cowan

• General Practice Dentistry in Port Huron, MI
• Providers in Port Huron, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.