Basic Information
| Provider Information | |||||||||
| NPI: | 1033556386 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EBY | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 N 7TH ST | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | AKRON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175011361 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178594170 | ||||||||
| FaxNumber: | 7178594174 | ||||||||
| Practice Location | |||||||||
| Address1: | 240 N 7TH ST | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | AKRON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175011361 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178594170 | ||||||||
| FaxNumber: | 7178594174 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2013 | ||||||||
| LastUpdateDate: | 05/28/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | DS030794L | PA | Y | Dental Providers | Dentist |
No ID Information.