Austin T Eddy DMD PLLC

Organization Active NPI General Practice Dentistry · Cortez, CO

NPI 1821783499 · NPPES record last updated Apr 10, 2023

Key facts

NPI
1821783499
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
AUSTIN T EDDY DMD PLLC
Practice address
115 N Beech St
Cortez, CO 81321-3207
Phone
(970) 565-7275
NPI assigned
Apr 10, 2023
Organization subpart
No

Authorized official

Name
Dr. Austin Tyler Eddy, DMD
Title
Owner/Dentist
Phone
(435) 590-1795

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

115 N Beech St
Cortez, CO 81321-3207

Mailing address

4708 Loma Blanca Dr
El Paso, TX 79934-4123
Phone (435) 590-1795

Other providers in Cortez, CO

All providers in Cortez, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.