DR. JASON SIMON EAGLIN D.D.S. NPI 1053329136

NPI Information

  • NPI: 1053329136
  • Provider Name: DR. JASON SIMON EAGLIN, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 248 ARROWHEAD BLVD
    JONESBORO, GA
    ZIP 30236
  • Phone: (770) 471-2333

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NPI Details

DR. Jason Simon Eaglin, D.D.S. is a general practice dentist in Jonesboro, GA. The provider is 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. DR. Jason Simon Eaglin, D.D.S. NPI is 1053329136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

248 ARROWHEAD BLVD
JONESBORO, GA
ZIP 30236-106
Phone: (770) 471-2333
Fax: (770) 473-0236

The enumeration date for this NPI number is 8/4/2006 and was last updated on 12/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN013169GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1779829461AMEDICAIDGEORGIA
21755220OTHERPENNSYLVANIAUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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