| Austin Tyler Eddy, DMD | |
|
510 E Lisa Dr, Chaparral, NM 88081-7809 | |
| (575) 824-0128 | |
| (575) 824-0179 |
| Full Name | Austin Tyler Eddy |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 510 E Lisa Dr, Chaparral, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962081471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD5457 (New Mexico) | Secondary |
| 122300000X | Dentist | 00205514 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Tyler Eddy, DMD 115 N Beech St, Cortez, CO 81321-3207 Ph: (970) 565-7275 | Austin Tyler Eddy, DMD 510 E Lisa Dr, Chaparral, NM 88081-7809 Ph: (575) 824-0128 |
Kapil Mangla, Dentist Medicare: Medicare Enrolled Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0128 Fax: 575-824-0179 | |
Bharani Kumar Bhattu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0128 Fax: 575-824-0179 | |
Tanya Sue Maestas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Lisa Dr, Chaparral, NM 88081 Phone: 575-824-0128 |