MR. BRYCE EAGAR (NPI# 1700143195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700143195 |
| Entity Type | Individual |
| Full Name | MR. BRYCE EAGAR |
| Credential | DDS |
| Practice Address |
100 N Church St Ste B Bloomfield NM 87413-5754 |
| Practice Telephone | 5056328585 |
| Mailing Telephone | 5056328585 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD3661 | NM | Dental Providers |
| Street Address |
100 N CHURCH ST STE B |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| Find all providers in zip 87413 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1043606239 | Amrita S. Varma | Dentist | 401-franklin St., The Center for Dentistry of Bloomfield, Pa, Bloomfield, NJ 07003 | 2015-04-14 |
| 1376959890 | Izaz M. Khan | Dentist | 317 Cottage Grove Rd, Bloomfield, CT 06002-3148 | 2014-07-03 |
| 1417377573 | Marina Sereda | Dentist | 27 Fritz St, Bloomfield, NJ 07003-4009 | 2014-04-16 |
| 1265752638 | Sara R Rogers | Dentist | 112 Fairfield Hill Road, Bloomfield, KY 40008-0484 | 2010-06-08 |
| 1053549568 | Randall K. Freeman, Dds | Dentist | 54 West Main Street, Bloomfield, NY 14469-9231 | 2009-06-24 |
| 1669624839 | Vincent Joseph Lipoma | Dentist | 30 Huck Rd, Bloomfield, NJ 07003-4123 | 2008-10-18 |
| 1588839443 | David Stanley Tomaszewicz | Dentist | 15 Grove St, Bloomfield, NJ 07003-5611 | 2008-04-22 |
| 1235348301 | Jeffrey Theodore Dull | Dentist | 150 Byrd Avenue, Bloomfield, NJ 07003 | 2007-05-22 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.