Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC JAMES ETHERIDGE, DDS
Active Sole ProprietorDR. ERIC JAMES ETHERIDGE, DDS is a Dentist healthcare provider located in RAYTOWN, Missouri. NPI 1881907343 is currently active in the NPPES registry. Verify at CMS.
Dentist · RAYTOWN, MO
Registration Details
- NPI Number
- 1881907343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2010 (16.041511602503 yrs)
- Last Updated
- Sep 15, 2014
- License
-
2010016169 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10800 E 77TH TERRAYTOWN, MO, 641382331Browse MO providers · Browse ZIP 64138
- Phone
- 8163581122
- Fax
- 8163587853
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in RAYTOWN, MO
| Name | Credential | NPI |
|---|---|---|
| DR. TIM GOODHEART | D.D.S. | 1679586887 |
| DR. EDWARD RAY OMAN | DDS | 1376645523 |
| MARY JANE SUPPASANSATHORN | DDS | 1013076934 |
| DR. MARK W MELSON | DDS | 1790840106 |
| DR. GARY L. SMITH | D.D.S. | 1578614426 |
| DR. DANIEL JOSHUA TOKAR | DDS | 1932303393 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.