Alan Christian Eberhardt, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035372 Issued in PA

Practice address

748 Milford Rd
East Stroudsburg, PA 18301-1308

Phone

(570) 424-2445

Fax

(570) 424-2276

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629110150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MILFORD RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011308",
            "telephone_number": "570-424-2445",
            "fax_number": "570-424-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MILFORD RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011308",
            "telephone_number": "570-424-2445",
            "fax_number": "570-424-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHARDT",
        "first_name": "ALAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Penn Rheumatology
• East Stroudsburg Area School District
• East Stroudsburg Counseling Associates LLC
• East Stroudsburg University (ESU Sports Medicine)
• Eberhardt & Eberhardt D.M.D., PC
• August Alan Eberhardt, D.M.D.
• Marlyn Echevarria, FNP
• Arlene L Edwards, MA, LPC, ICAADC
• Fatira Elhadi, PA
• Nicholas Elliott, DPT

• General Practice Dentistry in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.