# EADDY DENTISTRY PA

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

## Provider details

- **NPI number:** 1932204468
- **Authorized official:** DR. WINSTON MARSHALL EADDY DMD (PRESIDENT)
- **Authorized official phone:** (512) 263-4252

## Contact information

- **Practice address:** 900 RR 620 S, C-200, LAKEWAY, TX 78734
- **Practice address phone:** (512) 263-4252
- **Practice address fax:** (512) 263-1568
- **Mailing address:** 900 RR 620 S, C-200, LAKEWAY, TX 78734
- **Mailing address phone:** (512) 263-4252
- **Mailing address fax:** (512) 263-1568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19252 | TX | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020