Eagle Mountian Family Dental, Pc in Azle - General Practice
Eagle Mountian Family Dental, Pc - NPI 1376630525
Eagle Mountian Family Dental, Pc is a General Practice in Azle, Texas. Eagle Mountian Family Dental, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eagle Mountian Family Dental, Pc is 1376630525. The last update date is 2020-08-22.
Eagle Mountian Family Dental, Pc's current location address is 116 Denver Trl, Azle, Texas. You can contact this provider via phone number 8174443890. The mailing address for Eagle Mountian Family Dental, Pc is 116 Denver Trl, Azle, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle Mountian Family Dental, Pc |
|---|---|
| Address | 116 Denver Trl, Azle, Texas |
| Phone Number | 8174443890 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reeves Larry Kyle |
| Credentials | D.D.S. |
| Telephone Number | 8174443890 |
NPI Number Detail
| NPI Number | 1376630525 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 116 Denver Trl |
|---|---|
| City | Azle |
| State | Texas (TX) |
| Post Code | 760203614 |
| Phone Number | 8174443890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 20177 |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Eagle Mountian Family Dental, Pc by the Centers for Medicare & Medicaid Services?
The Eagle Mountian Family Dental, Pc has been assigned the NPI (National Provider Identifier) 1376630525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Eagle Mountian Family Dental, Pc's facilities are geographically located?
The facilities of Eagle Mountian Family Dental, Pc are physically situated at the following location: 116 Denver Trl, Azle, TX, 760203614.
What is Eagle Mountian Family Dental, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eagle Mountian Family Dental, Pc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1376630525 assigned to Eagle Mountian Family Dental, Pc?
The Eagle Mountian Family Dental, Pc was issued its 1376630525 on 2006-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Eagle Mountian Family Dental, Pc last refreshed?
The information related to the Eagle Mountian Family Dental, Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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