W. P. Eastman, D.D.S., P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1477-72 Issued in MS

Legal business name

W. P. EASTMAN, D.D.S., P.A.

Practice address

100 Brandon Rd.
Ste. E
Starkville, MS 39759

Phone

(662) 323-8065

Fax

(662) 323-8066

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By 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

William P Eastman, D.D.S.NPI 1871712810

Title

President

Phone

(662) 323-8065

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 P. Eastman, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Starkville, MS
  • NPI 1871712810
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1639353519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRANDON RD.",
            "address_2": "STE. E",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-8065",
            "fax_number": "662-323-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRANDON RD.",
            "address_2": "STE. E",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-8065",
            "fax_number": "662-323-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. P. EASTMAN, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-323-8065",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "1477-72",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581532",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Alexa Vandyk, MS, RDN, LD, CHES
• Kristin Faith Venarske, MS, RD LDN
• Alicia Vickers, LPC
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• Patrick William Vukmirovich
• W. Todd Smith, M.D., P.a.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0112)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5459)
• Wal-Mart Stores East, LP (Vision Center 30-0112)
• Waldrop Chiropractic and Wellness, PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Starkville, MS
• Providers in Starkville, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.