OrganizationActive
Eagle Dental Center of Texarkana PLLC
NPI 1134540628 · Dentist · Texarkana, TX
Eagle Dental Center of Texarkana PLLC is a Dentist organization in Texarkana, TX (NPI 1134540628).
Provider details
- NPI number
- 1134540628
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Miot, Clinic Administrator(903) 794-9974
Practice location
4009 Moores Ln
Texarkana, TX 75503
Phone: (903) 794-9974
Fax: (903) 793-6067
Street-level locationGet directions
Mailing address
4009 Moores Ln
Texarkana, TX 75503
Registry dates
- Enumerated
- 2013-12-30
- Last updated
- 2020-06-04
- Certified
- 2020-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.