Individual provider · Type 1 NPI
Rex Eatmon, DDS
Oral and Maxillofacial Surgery (Dentist) · Dallas, TX
NPI number
1720188758
Active
Practice location
10 Medical Parkway, Suite 101
Dallas, TX 75234
Fax (972) 243-8574
Mailing address
6065 Star Trail Dr
Frisco, TX 75034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 08875 (TX) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 190 (CO) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1720188758
Rex Eatmon, DDS's National Provider Identifier is 1720188758, issued on Sep 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.