Eagle Orthodontics, PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1710428883

Eagle Orthodontics, PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Eagle, Colorado. Licensed in Texas. Registered with an NPI since 2017.

Licensed in: TX
In the registry since: 2017

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

011 Eagle Park Dr
Eagle, CO 81631
Phone: (970) 328-1075

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary)	Taxonomy 1223X0400X · Licence 22109 (TX)

Record details

NPI number	1710428883
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dustin Roden-Johnson — Owner · (512) 923-2041
Other names	Eagle Orthodontics
NPI enumerated	March 9, 2017
Last updated in NPPES	March 9, 2017
Mailing address	Po Box 3538, Eagle, CO 81631-3538