Organization
EAGLE ORTHODONTICS, PC
Active
Organization
EAGLE ORTHODONTICS, PC
Active
Other names
Eagle Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN RODEN-JOHNSON DDS, MS (OWNER)
(512) 923-2041
Entity
Organization
Contact information
Practice address
011 EAGLE PARK DR., EAGLE, CO 81631
(970) 328-1075
Mailing address
PO BOX 3538, EAGLE, CO 81631-3538
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22109
TX
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up