EAGLE DENTAL CENTER OF TEXARKANA PLLC (NPI# 1134540628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134540628 |
| Entity Type | Organization |
| Organization Name | EAGLE DENTAL CENTER OF TEXARKANA PLLC |
| Other Organization Name | EAGLE DENTAL CENTER PLLC |
| Practice Address |
4009 Moores Ln Texarkana TX 75503 |
| Practice Telephone | 9037949974 |
| Practice Fax Number | 9037936067 |
| Mailing Telephone | 9037949974 |
| Mailing Fax Number | 9037936067 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | AMANDA MIOT (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 9037949974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Eagle Dental Center PLLC | Doing Business As Name - Organization |
| Street Address |
4009 MOORES LN |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| 1710259718 | Wiggins Eye Center, Pllc | Ophthalmology | 1727 Galleria Oaks, Texarkana, TX 75503 | 2012-02-07 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679955975 | Brittany Marie Bunch | Dentist | 5301 Cowhorn Creek Rd, Texarkana, TX 75503-9751 | 2015-06-23 |
| 1134489305 | Andrew S. Curry, D.d.s., Inc | Dentist | 4222 Texas Blvd, Texarkana, TX 75503-3013 | 2012-05-22 |
| 1932398799 | Chad Patterson | Dentist | 6002 Summerfield Dr, Texarkana, TX 75503 | 2007-10-17 |
| 1699960526 | Arklatex Family Dental Center | Dentist | 421 Pecan St, Texarkana, AR 71854-5333 | 2007-09-13 |
| 1447383526 | James Brian Barry | Dentist | 4222 Moores Ln, Texarkana, TX 75503-2162 | 2007-03-14 |
| 1447306972 | Mark Allan Looney | Dentist | 4410 Texas Blvd, Texarkana, TX 75503 | 2007-01-26 |
| 1932264991 | David Warren Vammen | Dentist | 505 East Sixth Street, Texarkana, AR 71854-5322 | 2006-12-27 |
| 1245306828 | Christopher Alan Ferguson | Dentist | 5504 Cowhorn Creek Rd, Texarkana, TX 75503 | 2006-11-27 |
| 1043233950 | Andrew S. Curry | Dentist | 4222 Texas Boulevard, Texarkana, TX 75503 | 2006-07-25 |
| 1649898354 | Sarah Khrystine Prine | Dentist | 1400 College Dr, Texarkana, TX 75503-3536 | 2020-07-09 |
| Find all providers in TEXARKANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.