Organization
ERIC N EAKERS DDS A P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC EAKERS D.D.S (DENTIST)
(405) 424-0037
Entity
Organization
Contact information
Practice address
2805 N MARTIN LUTHER KING AVE, OKLAHOMA CITY, OK 73111-3317
(405) 424-0037
Mailing address
2805 N MARTIN LUTHER KING AVE, OKLAHOMA CITY, OK 73111-3317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4754
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096290A
—
OK
01
—
854021
UNITED CONCORDIA
OK
Enumeration date
04/22/2008
Last updated
04/22/2008
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