Maura Erin Shea Easton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601965 Issued in MI

Practice address

1105 Sedgwick St
Port Huron, MI 48060-3339

Phone

(810) 984-2742

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Randa Jundi-Samman DMD & Alister M Mackenzie DDS PC

  • Dentist
  • Port Huron, MI
  • NPI 1083729370
  NPD (past)

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1740055847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FREDERICK ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671917",
            "telephone_number": "248-794-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SEDGWICK ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603339",
            "telephone_number": "810-984-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "MAURA",
        "middle_name": "ERIN SHEA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Paul Dupuis, MD
• Janae Durfee
• Kaitlyn Durfee
• Melody Earns
• East Michigan Hospitalists PLLC
• Stephanie Easton, FNP-C
• Tracy Easton, LMT
• Al Eaton
• Crystal Eddy
• Lisa Edgar

• 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 Nov 17, 2023; 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.