EAGLE ORTHODONTICS, PC


Address: 011 Eagle Park Dr., Eagle, CO 81631
Phone: 9703281075

EAGLE ORTHODONTICS, PC (NPI# 1710428883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710428883
Entity Type Organization
Organization Name EAGLE ORTHODONTICS, PC
Other Organization Name EAGLE ORTHODONTICS
Practice Address 011 Eagle Park Dr.
Eagle
CO 81631
Mailing Address Po Box 3538
Eagle
CO 81631-3538
Practice Telephone 9703281075
Enumeration Date 2017-03-09
Last Update Date 2017-03-09
Authorized Official Name DR. DUSTIN RODEN-JOHNSON (OWNER)
Authorized Official Telephone 5129232041
Authorized Official Credential DDS, MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
22109 TX Dental Providers

Other Provider/Organization Names

Other Name Type Code
Eagle Orthodontics Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Eagle Orthodontics, PC 011 Eagle Park Dr E, Eagle, CO 81631

Office Location

Street Address 011 EAGLE PARK DR.
City EAGLE
State CO
Zip Code 81631

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215549662 Andrea Browning Social Worker 2549 Salt Creek Road, Eagle, CO 81631 2020-08-18
1689213829 Erin E Johnson Pharmacist 0103 Market Street, Eagle, CO 81631 2020-01-06
1821653825 Lauren Lyn Ruhl Counselor 360 Eby Creek Road, Eagle, CO 81631 2019-05-06
1134626401 Dawn Allison Nichols Counselor 137 Howard, Eagle, CO 81631 2018-04-12
1750886776 Daniel Israel Counselor 137 Howard St., Eagle, CO 81631 2018-03-30
1962903005 Lisa K Johnson Massage Therapist 717a Sylvan Lake Road, Eagle, CO 81631 2018-02-23
1922525815 Susan Robinson Physical Therapist 1143 Capitol St, Unit 102b, Eagle, CO 81631 2017-08-23
1184148157 Hallie Mclaughlin Dental Hygienist 530 Founders Ave, Eagle, CO 81631 2017-08-01
1780125252 Brendan Quinn Pharmacist 264 Fulford Drive, Eagle, CO 81631 2017-03-16
1497298376 Mandy Collier Acupuncturist 200 Capitol Street, Eagale, CO 81631 2016-11-28
Find all providers in zip 81631

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750996641 Simko Orthodontics of Colorado, PC Dentist 6850 E Hampden Ave Ste 201, Denver, CO 80224-3024 2020-09-09
1457977407 Ingrid De La Torre Dentist 16533 E 49th Ave Apt 208, Denver, CO 80239-5884 2020-06-24
1205450525 David Wayne Hamula Dentist 1860 Woodmoor Dr Ste 200, Monument, CO 80132-9073 2020-06-02
1285260927 Johnson Orthodontics Dentist 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 2020-03-13
1003441049 Johnson Orthodontics Dentist 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 2020-03-10
1396379012 Ascend Group Pllc Dentist 700 W Eisenhower Blvd Ste 100&110, Loveland, CO 80537-3105 2020-03-03
1720619497 Irina Sharp Dentist 2200 E 104th Ave Ste 112, Thornton, CO 80233-4402 2020-01-30
1871124651 Jeffrey L Collins Dds PC Dentist 19700 E Parker Square Dr Ste C, Parker, CO 80134-7300 2020-01-30
1740829290 Charles F Reed Dds Ms PC Dentist 20971 E Smoky Hill Rd Ste 200, Centennial, CO 80015-5187 2020-01-02
1790324770 Pine Top Orthodontics PC Dentist 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 2019-12-23
Find all providers with the same taxonomy

Competitor

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City EAGLE
Zip Code 81631

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Dataset Information

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.

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