Organization Active NPI

John H Eaton D.D.S., P.C.

  • Periodontics
  • Dunwoody, GA
National Provider Identifier
1609085620
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
009723 Issued in GA
Legal business name
JOHN H EATON D.D.S., P.C.
Practice address
1776 Old Spring House LN
Suite 301
Dunwoody, GA 30338-6225
Phone
(770) 457-6558
Fax
(770) 457-6683
NPI assigned
May 22, 2007
Last updated
Mar 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Dr. John H Eaton, D.D.S.NPI 1922491356
Title
President
Phone
(770) 457-6558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 009723 GA Primary

Addresses

Primary practice location

1776 Old Spring House LN
Suite 301
Dunwoody, GA 30338-6225

Mailing address

1776 Old Spring House LN
Suite 301
Dunwoody, GA 30338-6225
Phone (770) 457-6558

National Provider Directory

National Provider Directory

Locations

1776 Old Spring House Ln
Ste 301
Dunwoody, GA 30338
Phone (770) 457-6558

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1609085620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 OLD SPRING HOUSE LN",
            "address_2": "SUITE 301",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386225",
            "telephone_number": "770-457-6558",
            "fax_number": "770-457-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 OLD SPRING HOUSE LN",
            "address_2": "SUITE 301",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386225",
            "telephone_number": "770-457-6558",
            "fax_number": "770-457-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H EATON D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-457-6558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "009723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.