EAGLE MOUNTIAN FAMILY DENTAL, PC
NPI 1376630525
Dentist - General Practice in Azle, TX

Active since October 09, 2006
116 DENVER TRL, AZLE, TX 76020(817) 444-3890 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Mountian Family Dental, Pc NPPES

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

EAGLE MOUNTIAN FAMILY DENTAL, PC (NPI 1376630525) is a healthcare organization registered as a general practice in Azle, Texas and active in the NPI registry since October 2006. The organization lists Kyle Larry Reeves, President Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1376630525
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAGLE MOUNTIAN FAMILY DENTAL, PC
Location Address116 DENVER TRLAzle, TX 76020-3614
Mailing Address116 Denver TrlAzle, TX 76020-3614 · (817) 444-3890
Organization SubpartNo
Authorized OfficialKyle Larry ReevesPresident Secretary Treasurer · (817) 444-3890
Enumeration DateOctober 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1376630525 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 · 20177
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.
116 DENVER TRL, Azle, TX 76020

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

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
116 DENVER TRL
AZLE, TX 76020

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 Mountian Family Dental, PC's NPI number?

The NPI number for Eagle Mountian Family Dental, PC is 1376630525. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Eagle Mountian Family Dental, PC located?

Eagle Mountian Family Dental, PC is located at 116 Denver Trl, Azle, TX 76020. The listed phone number is (817) 444-3890.

What is Eagle Mountian Family Dental, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eagle Mountian Family Dental, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.