Organization · Type 2 NPI
Eagle Dental Partnership PLLC
General Practice Dentistry · Eagle, ID
NPI number
1639732399
Active
Practice location
577 E State St
Eagle, ID 83616-5938
Fax (208) 939-3837
Other practice locations
- 450 W State St Ste 115, Eagle, ID 83616-7055 · (208) 342-4644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: 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.
2 other providers at this address
Other general practice dentistry providers in Eagle
About NPI 1639732399
Eagle Dental Partnership PLLC's National Provider Identifier is 1639732399, issued on Apr 18, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eagle, ID. The record was last updated on Aug 11, 2025.