# EAGLE NATURAL DENTISTRY LLC

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

## Provider details

- **NPI number:** 1609785930
- **Authorized official:** HIEDI HANNA WOOD (OFFICE MANAGER)
- **Authorized official phone:** (406) 200-5239

## Contact information

- **Practice address:** 700 E STATE ST STE 100, EAGLE, ID 83616-5941
- **Practice address phone:** (208) 631-7485
- **Mailing address:** 700 E STATE ST STE 100, EAGLE, ID 83616-5941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026