OrganizationActive
Eagle Mountian Family Dental, PC
NPI 1376630525 · General Practice Dentistry · Azle, TX
Provider details
- NPI number
- 1376630525
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kyle Reeves, President Secretary Treasurer(817) 444-3890
- License
- 20177 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
116 Denver Trl
Azle, TX 76020-3614
Phone: (817) 444-3890
Street-level locationGet directions
Mailing address
116 Denver Trl
Azle, TX 76020-3614
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.