Provider Demographics
NPI:1215310420
Name:EADDY, DANIEL BRITTON (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRITTON
Last Name:EADDY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 WILD CHERRY DRIVE
Mailing Address - Street 2:BLDG. 11
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738
Mailing Address - Country:US
Mailing Address - Phone:512-263-4252
Mailing Address - Fax:512-263-1568
Practice Address - Street 1:3502 WILD CHERRY DRIVE
Practice Address - Street 2:BLDG. 11
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738
Practice Address - Country:US
Practice Address - Phone:512-263-4252
Practice Address - Fax:512-263-1568
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice