Benjamin David Eaker, DMD

Individual provider Active NPI General Practice Dentistry · Spindale, NC

NPI 1861177263 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1861177263
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
13367 (NC)
Practice address
837 Thunder Rd
Spindale, NC 28160-1152
Phone
(828) 287-7592
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13367NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
JD Hall DMD PA General Practice Current
since Dec 22, 2024
Accepting new patients
Kendalyn Lutz-Craver DDS PA General Practice Past
since Aug 1, 2023
Accepting new patients

Locations

837 Thunder Rd
Spindale, NC 28160
Phone (828) 287-7592

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 13367 NC Yes

Addresses

Primary practice location

837 Thunder Rd
Spindale, NC 28160-1152

Mailing address

101 Life Enrichment Blvd
Shelby, NC 28150-3690

Other providers in Spindale, NC

All providers in Spindale, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.