OrganizationActive
Eagle Mountain Pediatric Dentistry
NPI 1669080487 · Pediatric Dentistry · Saginaw, TX
Provider details
- NPI number
- 1669080487
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeremy Lustig, Ceo(214) 335-0862
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
705 W Bailey Boswell Rd
Saginaw, TX 76179-1020
Phone: (817) 576-1600
Street-level locationGet directions
Mailing address
3575 Lone Star Cir Ste 310
Fort Worth, TX 76177-8908
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.