Eagle Creek Dental Hygiene

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

000003046 Issued in CO

Legal business name

EAGLE CREEK DENTAL HYGIENE

Practice address

16061 6250 Rd
Montrose, CO 81403-7887

Phone

(970) 765-6753

NPI assigned

Jan 8, 2017

Last updated

Jan 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugenia Lee Catlin, RDH

Title

Registered Dental Hygienist

Phone

(970) 765-6753

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1609312131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014234",
            "telephone_number": "970-765-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16061 6250 RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814037887",
            "telephone_number": "970-765-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CREEK DENTAL HYGIENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "CATLIN",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "970-765-6753",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "000003046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Montrose, CO
• Providers in Montrose, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.