| Doctor Name: | DR. HOWARD GLENN EAGLE |
| NPI Number: | 1043215031 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | 43943 |
| Business Practice Address: | 333 H St Chula Vista, CA - 919105555 |
| Business Phone Number: | 6194267582 |
| Business Fax Number: | 6197819062 |
| Mailing Address: | 8896 Hampe Ct, SAN DIEGO |
| State: | CA |
| Postal Code: | 921294457 |
| Phone Number: | 8585384805 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 02/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0700X |
| License Number: | 43943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Prosthodontics |
| Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |