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

Eagle Mountain Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1669080487

Eagle Mountain Pediatric Dentistry is a Pediatric Dentistry in Saginaw, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

705 W Bailey Boswell Rd
Saginaw, TX 76179-1020
Phone: (817) 576-1600
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1669080487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Lustig — Ceo · (214) 335-0862
NPI enumeratedJuly 17, 2020
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020
Mailing address3575 Lone Star Cir Ste 310, Fort Worth, TX 76177-8908

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