DR. TODD IVAN EGGLESTON


Address: 1801 N Lamar Blvd, Suite 102, Austin, TX 78701-1056
Phone: 5123910011

DR. TODD IVAN EGGLESTON (NPI# 1801823216) 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) 1801823216
Entity Type Individual
Full Name DR. TODD IVAN EGGLESTON
Credential DDS
Practice Address 1801 N Lamar Blvd
Suite 102
Austin
TX 78701-1056
Practice Telephone 5123910011
Practice Fax Number 5123910031
Mailing Telephone 5123910011
Mailing Fax Number 5123910031
Enumeration Date 2006-06-28
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
16420 TX Dental Providers

Office Location

Street Address 1801 N LAMAR BLVD
SUITE 102
City AUSTIN
State TX
Zip Code 78701-1056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588662621 John Robert Gould Psychologist 1801 N Lamar Blvd, Suite 210, Austin, TX 78701-1051 2005-07-12

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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033733365 Ernesto Carmona Jr Dds PC Dentist 10125a Lake Creek Pkwy, Austin, TX 78729-1711 2020-06-02
1205360252 Central Texas Implant Center Pllc Dentist 7320 N Mo Pac Expy, #200, Austin, TX 78731-2338 2017-04-17
1811343718 T & S Omfs Pllc Dentist 1015 W 34th St, Austin, TX 78705-2008 2016-05-10
1932450020 Garey Chayra Dentist 6352 Tasajillo Trl, Austin, TX 78739-1416 2012-09-28
1497938468 Matthew C. Largent Dentist 4306 Medical Pkwy Ste 2, Austin, TX 78756-3312 2007-12-12
1104008861 Travis W. Kern Dentist 7800 Mopac Expwy, Suite 270, Austin, TX 78759 2007-12-04
1730373580 Claude-jean Langevin Dentist 911 W 38th St Ste 101, Austin, TX 78705-9918 2007-09-04
1407917800 Henry Marcantoni Dentist 10801 N Mo Pac Expy, Bldg. 2 Ste.130, Austin, TX 78759-5459 2006-12-12
1346330396 James John Flaggert IIi Dentist 11615 Angus Rd., Suite 118, Austin, TX 78759-4065 2006-10-13
1114018124 Central Texas Oral Surgery Assc. Dentist 3200 Red River, #400, Austin, TX 78705 2006-09-27
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Competitor

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City AUSTIN
Zip Code 78701

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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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