# ROY D EAGLIN DMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396753265
- **Authorized official:** JEAN ZUBATY (RECEPTION)
- **Authorized official phone:** (812) 273-2388

## Contact information

- **Practice address:** 411 CLIFTY DRIVE, MADISON, IN 47250
- **Practice address phone:** (812) 273-2388
- **Practice address fax:** (812) 273-5728
- **Mailing address:** 411 CLIFTY DRIVE, MADISON, IN 47250
- **Mailing address phone:** (812) 273-2388
- **Mailing address fax:** (812) 273-5728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008337 | IN | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020