National Provider Identifier
Edmund E Eaves
Edmund E Eaves is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Penn Yan, NY and a listed phone number of (315) 536-3341.
Profile Overview
- NPI
- 1104960475
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- February 19, 2007
- Last Updated
- February 19, 2009
Practice Location
- 660 Liberty St
- Penn Yan, NY 14527-1035
Phone: (315) 536-3341
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1104960475
- Entity Type
- Individual
- Last Name
- Eaves
- First Name
- Edmund
- Middle Name
- E
- Name Prefix
- Dr.
- Mailing Street Address
- 660 Liberty St
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1035
- Mailing Country
- US
- Mailing Phone
- (315) 536-3341
- Mailing Fax
- (315) 536-7465
- Practice Street Address
- 660 Liberty St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1035
- Practice Country
- US
- Practice Phone
- (315) 536-3341
- Practice Fax
- (315) 536-7465
- Enumeration Date
- February 19, 2007
- Last Updated
- February 19, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 00781282 (NY)