Provider Demographics
NPI:1629136940
Name:EAKER, JAMES HAMILTON (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAMILTON
Last Name:EAKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 LAKE ELTON RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-1702
Mailing Address - Country:US
Mailing Address - Phone:919-544-6408
Mailing Address - Fax:
Practice Address - Street 1:4208 S ALSTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2218
Practice Address - Country:US
Practice Address - Phone:919-544-5620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC53881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice