Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Eagle Mountain Pediatric Dentistry

Pediatric Dentistry in Saginaw, TX · enumerated 2020 · authorized official Jeremy Lustig, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669080487

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Registry record

Entity type Organization (Type 2)

Legal business name Eagle Mountain Pediatric Dentistry

Practice address 705 W Bailey Boswell Rd, Saginaw, TX, 76179

Phone (817) 576-1600

Enumeration date Jul 17, 2020

Last updated in NPPES Jul 17, 2020

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Jeremy Lustig

Title Ceo

Phone (214) 335-0862

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Eagle Mountain Pediatric Dentistry?

Eagle Mountain Pediatric Dentistry is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-17.