Bryce R Eagar DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9052028-9922 Issued in UT

Legal business name

BRYCE R EAGAR DDS PLLC

Doing business as

Gateway Oral Health Center

Practice address

720 S. River Rd. Ste B-210
St. George, UT 84790

Phone

(435) 656-0255

Fax

(435) 656-3791

NPI assigned

Oct 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryce Eagar, DDS

Title

Manager Dentist

Phone

(435) 656-0255

Specialties & licenses 1

Addresses

Other names 1

• Gateway Oral Health Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1225431307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S. RIVER RD STE B-210",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-656-0255",
            "fax_number": "435-656-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S. RIVER RD. STE B-210",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-656-0255",
            "fax_number": "435-656-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE R EAGAR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "EAGAR",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "MANAGER DENTIST",
        "authorized_official_telephone_number": "435-656-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "9052028-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Oral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Bryan, RD
• Lori Bryan
• Timothy Bryan
• Christina Bryant
• Frank Alexander Bryant
• Benjamin Kelvin Buchanan, M.D.
• Julie M Buchanan, D.D.S
• Haden S Buck, APRN FNP-C
• Julia Buck
• Skyler Vance Buck, PA-C

• Dental Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.