Robert Dale Ealy JR. DDS

NPI 1114095247 - Dentist - 1223G0001X

NPI Details
NPI 1114095247
Gender Male
Enumeration Date 11/30/2006
Last Updated 02/29/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
300 ENOLA RD
J IVERSON RIDDLE DEVELOPMENTAL CENTER/DHHS/NC
MORGANTON NC, 28655-4608, US
Phone (828) 433-2639
Fax (828) 433-2694
Business Location
300 ENOLA RD
J IVERSON RIDDLE DEVELOPMENTAL CENTER/DHHS/NC
MORGANTON NC, 28655-4608, US
Phone (828) 433-2639
Fax (770) 271-7349
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN009541
Remove 1114095247 NPI Number
 

According to our database, Robert Dale Ealy JR. DDS NPI is 1114095247, taxonomy code is 1223G0001X and license number is DN009541, license state is located at Georgia. Robert Dale Ealy JR. DDS physically located at 300 Enola Rd, Morganton NC, 28655-4608. NPI Number Robert Dale Ealy JR. DDS has the Individual type.

Sponsored links

1114095247 NPI number is provided on an as is basis without warranty of any kind. 1114095247 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Dale Ealy JR. DDS are for informational purposes only.