Eagle Creek Dentistry, Inc.

NPI #1639391725 in Naples, Florida

Provider Information

NPI Number: 1639391725
Entity Type: Organization
Organization Name: Eagle Creek Dentistry, Inc.
Primary Specialty: Dentist
Enumeration Date: May 2, 2007
Last Updated: Apr 10, 2023

Practice Location

Address: 12692 TAMIAMI TRL E
City: Naples
State: Florida
ZIP Code: 34113-8431
Phone: (239) 417-6453

Authorized Official

Name: MEAGHAN DANIELLE VALENTINE
Title: OFFICE MANAGER
Phone: (239) 398-4410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Clinic/Center - Dental — Dental	261QD0000X
Dentist	122300000X	Primary

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