MEDICARE: EAGLE FAMILY DENTAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5929	LA

General Provider Information

NPI Number	:	1689934861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAGLE FAMILY DENTAL INC

Provider Business Mailing Address
First Line	:	1201 CANAL ST APT 501
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2673
Country	:	US
Telephone Number	:	504-906-0099
Fax Number	:

Provider Business Practice Location Address
First Line	:	7023 READ LANE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127
Country	:	US
Telephone Number	:	504-906-0099
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. BRANDON ERNEST HAGLER
Credential	:
Telephone Number	:	504-906-0099

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	05/22/2012

Similar Medicare Providers

1720921091 — DR. FERGIE STEPHANY DEDUY CASTRO
Practice Location Address:

9900 LAKE FOREST BLVD STE F
NEW ORLEANS, LA
70127-2609

Practice Phone: 504-620-0500
Practice Fax:

1639013329 — DR. MATINA ELISE MAMOUNAS MD
Practice Location Address:

5630 READ BLVD
NEW ORLEANS, LA
70127-3106

Practice Phone: 504-207-3060
Practice Fax:

1770283558 — ALI MEDICAL SOLUTIONS LLC
Practice Location Address:

10001 LAKE FOREST BLVD , #916
NEW ORLEANS, LA
70127

Practice Phone: 504-214-3475
Practice Fax:

1891639928 — HOLISTIC HOME & HEALTHCARE
Practice Location Address:

10001 LAKE FOREST BLVD STE 605
NEW ORLEANS, LA
70127-6200

Practice Phone: 504-702-1798
Practice Fax:

1780524942 — ILLUSIONS MEDICAL PROSTHETICS LLC
Practice Location Address:

5703 READ BLVD STE J
NEW ORLEANS, LA
70127-7908

Practice Phone: 504-982-2377
Practice Fax:

1992709885 — THE RETINAL INSTITUTE OF LOUISIANA
Practice Location Address:

10001 LAKE FOREST BLVD , STE 701
NEW ORLEANS, LA
70127-5264

Practice Phone: 504-246-1966
Practice Fax: 504-241-0743

1134125693 — DELTA MRI LLC
Practice Location Address:

9900 LAKE FOREST BLVD , STE N
NEW ORLEANS, LA
70127-5470

Practice Phone: 504-620-5200
Practice Fax: 504-620-5203

Directions to “EAGLE FAMILY DENTAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.