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Provider record

Eagle Creek Dentistry, INC.

Eagle Creek Dentistry, INC. is listed in CMS NPPES as an organization record with a Dentist taxonomy. The record shows a practice location at 12692 Tamiami Trl E, Naples, FL. NPPES also reports a phone number. Confirm current office details directly with the provider.

NPI1639391725
Entity typeOrganization
Reported phone(239) 417-6453
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJuly 15, 2026

CMS NPPES

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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We show source-reported CMS NPPES fields.

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1639391725
Entity type
Organization
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
12692 Tamiami Trl E
Naples, FL 34113-8431
Phone
(239) 417-6453

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Nearby dentists

Approximate straight-line distance from this practice location.

Erica Danielle Anderson RdhDental HygienistNaples, 34113-8431< 0.1 mi away(239) 417-6453CMS NPPESJohn W Valentine DMDGeneral Practice DentistryNaples, 34113-8431< 0.1 mi away(239) 417-6453CMS NPPESSmile Design Eagle Creek LLCGeneral Practice DentistryNaples, 34113-8431< 0.1 mi away(239) 417-6453CMS NPPESAmanda E Wright CrdhDental HygienistNaples, 34113-84310.1 mi away(239) 417-6453CMS NPPESAna BujilaPeriodonticsNaples, 34114-36320.2 mi away(305) 407-0366CMS NPPES

Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
122300000X
Specialty
Dentist
Source
CMS NPPES
Last updated
May 26, 2026

Additional NPPES taxonomy rows

Other taxonomy entries reported to NPPES for this NPI.

1223G0001X
General Practice Dentistry
General Practice
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Orthodontics and Dentofacial Orthopedics
124Q00000X
Dental Hygienist
126800000X
Dental Assistant

Record actions

Contact and sources

Call the reported phone number or review how CMS NPPES fields are used.

(239) 417-6453View data sources