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Austin Tyler Eddy

NPI Registration Record

Provider / OrganizationNPIDate Certified
AUSTIN TYLER EDDY19620814712021-04-03

Austin Tyler Eddy is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962081471. Registration indicates Austin Tyler Eddy is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Austin Tyler Eddy DMD
Practice Office Address510 E LISA DR
CHAPARRAL, NM US
Practice Office Telephone5758240820
Mailing Address95 S 300 E
KANAB, UT 847413525 US
Business Telephone4355901795
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

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