DR. EDMUND E EAVES (NPI# 1104960475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104960475 |
| Entity Type | Individual |
| Full Name | DR. EDMUND E EAVES |
| Practice Address |
660 Liberty St Penn Yan NY 14527-1035 |
| Practice Telephone | 3155363341 |
| Practice Fax Number | 3155367465 |
| Mailing Telephone | 3155363341 |
| Mailing Fax Number | 3155367465 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2009-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
037637 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00781282 | 05 |
| Street Address |
660 LIBERTY ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649687013 | Eaves Family Dental Group | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2014-07-17 |
| 1588081319 | Kayhan Zandieh | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2014-03-18 |
| 1205273240 | Evan David Silsby | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2013-05-31 |
| 1407991706 | Marilyn Eaves | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2007-02-21 |
| 1538203633 | Edmund E & Marilyn Y Eaves Ptr | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801851597 | Steven Speroni | Dentist | 160 Maiden Lane, Penn Yan, NY 14527-1201 | 2006-04-18 |
| 1588081319 | Kayhan Zandieh | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2014-03-18 |
| 1407991706 | Marilyn Eaves | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2007-02-21 |
| 1538203633 | Edmund E & Marilyn Y Eaves Ptr | Dentist | 660 Liberty St, Penn Yan, NY 14527-1035 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1447859509 | Scarsdale Plaza Dental Services, Pllc | Dentist | 455 Central Park Ave Ste 309, Scarsdale, NY 10583-1034 | 2020-10-20 |
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.