EAGLE DENTAL P.C.
NPI 1073832291
Dentist - General Practice in Houston, TX

Active since May 27, 2010
12609 S GESSNER DR, HOUSTON, TX 77071(713) 774-6700(713) 774-6704 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagle Dental P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE DENTAL P.C. (NPI 1073832291) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since May 2010. The organization lists Davin E Odia, Owner, as its authorized official.

NPPES Registry Identity

NPI1073832291
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAGLE DENTAL P.C.
Location Address12609 S GESSNER DRHouston, TX 77071-2803
Mailing Address12609 S. Gessner Drive, Ste. FHouston, TX 77071-2803 · (713) 774-6700 · Fax (713) 774-6704
Fax(713) 774-6704
Organization SubpartYesParent: Sun Dental Group P.a.
Authorized OfficialDavin E OdiaOwner · (832) 790-2223
Enumeration DateMay 27, 2010
Last NPPES UpdateJune 23, 2011
NPI 1073832291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 22575
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12609 S GESSNER DR, Houston, TX 77071

Other Identifiers 4

OtherB22575-01Chip
Medicaid190960801TX
Medicaid214288701TX
OtherB22575-02Chip

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
12609 S GESSNER DR, SUITE G
HOUSTON, TX 77071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Dental P.C.'s NPI number?

The NPI number for Eagle Dental P.C. is 1073832291. It was assigned to this organization in the NPPES registry on May 27, 2010.

Where is Eagle Dental P.C. located?

Eagle Dental P.C. is located at 12609 S Gessner Dr, Houston, TX 77071. The listed phone number is (713) 774-6700.

What is Eagle Dental P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Eagle Dental P.C. accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Eagle Dental P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagle Dental P.C. was last updated on June 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.