Dr. Walter Clyde Eanes , DDS
Dentist - General Practice • Laurel, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Walter Eanes has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Walter Eanes, DDS was a registered Dentist - General Practice practicing in Laurel, MD. Throughout an active medical career spanning 18 years, Dr. Eanes provided care at the practice location at 14800 4TH ST STE 14A until profile deactivation on 2024-11-21.
Practice Location & Contact Primary Location
14800 4th St Ste 14a
Laurel, MD 207073708
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Laurel, MD
Practicing in Laurel, MD (2555 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 21, 2024
NPI status registered as active in NPPES database
Registered at 14800 4TH ST STE 14A, LAUREL, MD 207073708 (Tel: 3014981414)
Registered at 14800 4TH ST, STE 14A, LAUREL, MD 207073708 (Tel: 3014981414)
Recorded as WALTER EANES, D.D.S.
Dentist (License #4238 in MD)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
14800 4th St, Ste 14a
Laurel, MD 207073708
Phone: 3014981414
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