John Mark Eaton, D.D.S.

General Practice Dentistry · Beaver Dam, WI

Individual Active NPI

NPI number 1265654107

Practice location

107 Warren St Ste 1
Beaver Dam, WI 53916-3031
Phone
(920) 887-7667

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NPI record

NPI
1265654107
Entity type
Individual (Type 1)
Enumeration date
May 2, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4525-015 WI

Mailing address

6836 Starburst Dr
Sun Prairie, WI 53590-9119
Phone
(608) 837-8329

About Dr. Eaton

John Mark Eaton, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 107 Warren St Ste 1, Beaver Dam, WI 53916-3031. The NPI number 1265654107 was assigned on May 2, 2007 and the record was last updated on July 8, 2007.

Dr. Eaton lists a license in the registry: #4525-015 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Mark Eaton, D.D.S.?

The NPI number is 1265654107.

What is the phone number of Dr. Eaton?

The phone number listed for the practice location is (920) 887-7667.

Where is Dr. Eaton located?

107 Warren St Ste 1, Beaver Dam, WI 53916-3031.

What is the taxonomy code for Dr. Eaton?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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