Provider Demographics
NPI:1851664114
Name:EURE, DARDEN JOHNSON JR (DDS)
Entity type:Individual
Prefix:DR
First Name:DARDEN
Middle Name:JOHNSON
Last Name:EURE
Suffix:JR
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 1:207 LANDS END RD
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-8943
Mailing Address - Country:US
Mailing Address - Phone:252-726-6498
Mailing Address - Fax:
Practice Address - Street 1:207 LANDS END RD
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-8943
Practice Address - Country:US
Practice Address - Phone:252-726-6498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice