Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386990034 Deactivated / Inactive NPI Male Practitioner

Dr. Odis Dell Eagleton , DDS

Dentist - General Practice • Houston, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Odis Eagleton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2012
NPI Deactivation Date November 13, 2017
Total Practice Duration ~5 Years of Practice (2012 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Odis Eagleton, DDS was a registered Dentist - General Practice practicing in Houston, TX. Throughout an active medical career spanning 5 years, Dr. Eagleton provided care at the practice location at 5230 GRIGGS RD until profile deactivation on 2017-11-13.

Practice Location & Contact Primary Location

Practice Address

5230 Griggs Rd

Houston, TX 770213760

Telephone 7134545016
Fax 7134545018
Associated Practice Facility / Clinic
🏢 Craven And Plummer, Inc. Facility NPI 1639502644

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
1389 Specialists

Practicing in Houston, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 8765

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Lenore Ezernack , DDS

Dentist - General Practice

NPI 1215284377

Doctor of Dental Surgery

Dr. Kathleen Dreher , DDS

Dentist - General Practice

NPI 1295081057

Doctor of Dental Surgery

Dr. Charles Cook , DDS

Dentist - General Practice

NPI 1427304021

Doctor of Dental Surgery

NPI 1427499755

Doctor of Dental Surgery

Dr. Melvyn Huckaby , DDS

Dentist - General Practice

NPI 1578819355

Doctor of Dental Surgery

Dr. Ching-Lan Shih , DDS

Dentist - General Practice

NPI 1780930578

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2017

Record deactivated on November 13, 2017

NPI Profile Active July 31, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 31, 2012

Registered at 5230 GRIGGS RD, HOUSTON, TX 770213760 (Tel: 7134545016)

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Updated Business Mailing Address July 31, 2012

Registered at 5230 GRIGGS RD, HOUSTON, TX 770213760 (Tel: 7134545016)

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Provider Name / Credentials Updated July 31, 2012

Recorded as ODIS EAGLETON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2012

Dentist (License #8765 in TX)

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Initial NPI Registration & Enumeration July 31, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386990034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2012
Last Update: July 31, 2012
Deactivation Date: November 13, 2017

Mailing Address

5230 Griggs Rd

Houston, TX 770213760

Phone: 7134545016

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.