Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagan Orthodontics PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1194861765

Eagan Orthodontics PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17600 W 12 Mile Rd Ste 4
Southfield, MI 48076-1910
Phone: (248) 569-8770
Fax: (248) 569-2476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 13440 (MI)

Record details

NPI number1194861765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Eagan — Owner · (248) 569-8770
Other names Eagan Family Dentistry
NPI enumeratedJanuary 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17600 W 12 Mile Road, Suite 4, Southfield, MI 48076-1910

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