Roy D Eaglin DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008337 Issued in IN

Legal business name

ROY D EAGLIN DMD

Practice address

411 Clifty Drive
Madison, IN 47250

Phone

(812) 273-2388

Fax

(812) 273-5728

NPI assigned

Aug 4, 2006

Reactivated

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Jean Zubaty

Title

Reception

Phone

(812) 273-2388

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Ann Lee, D.M.D.

  • Dentist
  • Madison, IN
  • NPI 1932460029

  General Practice

  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396753265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CLIFTY DRIVE",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "47250",
            "telephone_number": "812-273-2388",
            "fax_number": "812-273-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CLIFTY DRIVE",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "47250",
            "telephone_number": "812-273-2388",
            "fax_number": "812-273-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY D EAGLIN DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "deactivation_date": "2006-11-30",
        "reactivation_date": "2007-06-13",
        "status": "A",
        "authorized_official_last_name": "ZUBATY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "RECEPTION",
        "authorized_official_telephone_number": "812-273-2388"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Jo Rogers, RDN,LD
• Jackie L Rohrer
• Jennifer D Roney, M.D.
• Paul S Rosenberg, M.D.
• Phillip A Ross, M.D.
• Dan Rudin, MD
• Colleen Ryan, M.D.
• Lori Sachleben
• Debra Ann Sadler, MSW
• Melanie Sample, RN

• General Practice Dentistry in Madison, IN
• Providers in Madison, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.