IndividualActive
Edmund Eaves
NPI 1104960475 · General Practice Dentistry · Penn Yan, NY
Edmund Eaves is a General Practice Dentistry provider in Penn Yan, NY (NPI 1104960475).
Provider details
- NPI number
- 1104960475
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 037637 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
660 Liberty St
Penn Yan, NY 14527-1035
Phone: (315) 536-3341
Fax: (315) 536-7465
Street-level locationGet directions
Mailing address
660 Liberty St
Penn Yan, NY 14527-1035
Registry dates
- Enumerated
- 2007-02-19
- Last updated
- 2009-02-19
Frequently asked questions
- What is Edmund Eaves's NPI number?
- Edmund Eaves's National Provider Identifier (NPI) is 1104960475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edmund Eaves's specialty?
- Edmund Eaves is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Edmund Eaves located?
- Edmund Eaves's practice location on file with NPPES is 660 Liberty St, Penn Yan, NY 14527-1035.
- What is Edmund Eaves's phone number?
- The practice phone number listed in the NPPES registry for Edmund Eaves is (315) 536-3341.
- Is Edmund Eaves's NPI active?
- Yes — Edmund Eaves's NPI (1104960475) is active in the NPPES registry as of the last update on 2009-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.