Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881907343 Individual Practitioner Male Practitioner

Dr. Eric James Etheridge , DDS

Dentist • Raytown, MO

Professional Overview & Biography Verified Profile Summary

Dr. Eric Etheridge, DDS is a registered healthcare professional specializing in Dentist in Raytown, MO. Practice services are available at 10800 E 77TH TER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10800 E 77th Ter

Raytown, MO 641382331

Telephone 8163581122
Fax 8163587853
Associated Practice Facility / Clinic
🏢 Terrace Family Dentistry Llc Facility NPI 1346111986

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Raytown, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Raytown, MO (1740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2010016169

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Lonnie Feagan , DDS

Dentist - General Practice

NPI 1215047568

Doctor of Dental Surgery

Dr. Joseph Pleasant , DDS

Dentist - General Practice

NPI 1336661693

Doctor of Dental Surgery

Francisco Inzunza Santiago

Dentist - General Practice

NPI 1407424237

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2014

Registered at 10800 E 77TH TER, RAYTOWN, MO 641382331 (Tel: 8163581122)

📍
Updated Business Mailing Address September 15, 2014

Registered at 10800 E 77TH TER, RAYTOWN, MO 641382331 (Tel: 8163581122)

👤
Provider Name / Credentials Updated September 15, 2014

Recorded as ERIC ETHERIDGE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2014

Dentist (License #2010016169 in MO)

🟢
Initial NPI Registration & Enumeration July 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881907343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2010
Last Update: September 15, 2014
Sole Proprietor: Yes

Mailing Address

10800 E 77th Ter

Raytown, MO 641382331

Phone: 8163581122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.