Individual
ROBERT DALE EALY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 ENOLA RD, J IVERSON RIDDLE DEVELOPMENTAL CENTER/DHHS/NC, MORGANTON, NC 28655-4608
(828) 433-2639
(828) 433-2694
Mailing address
300 ENOLA RD, J IVERSON RIDDLE DEVELOPMENTAL CENTER/DHHS/NC, MORGANTON, NC 28655-4608
(828) 433-2639
(828) 433-2694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992282
—
NC
Enumeration date
11/30/2006
Last updated
02/29/2016
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