Ealy, Robert Dale

Ealy, Robert Dale is an individual health care provider with primary practice located at 300 Enola Rd J Iverson Riddle Developmental Center/Dhhs/Nc, Morganton NC 28655-4608. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ealy, Robert Dale can be contacted via phone (828) 433-2639.

Contact Information

Primary practice address
300 Enola Rd J Iverson Riddle Developmental Center/Dhhs/Nc Morganton NC 28655-4608
Phone: (828) 433-2639
Fax: (828) 433-2694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5077 North Carolina

Profile Details

NPI number 1114095247
LBN Legal business name Ealy, Robert Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114095247 NPPES
North Carolina MEDICAID 8992282

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