| Eckart Dental Center, Llc | |
|
300 1st Avenue E Shakopee MN 55379-1444 | |
| (952) 445-1352 | |
| (952) 445-7221 |
| Full Name | Eckart Dental Center, Llc |
|---|---|
| Speciality | Dentist |
| Location | 300 1st Avenue E, Shakopee, Minnesota |
| Authorized Official Name and Position | David C. Eckart (DENTIST) |
| Authorized Official Contact | 9524451352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eckart Dental Center, Llc 300 1st Avenue E Shakopee MN 55379-1444 Ph: (952) 445-1352 | Eckart Dental Center, Llc 300 1st Avenue E Shakopee MN 55379-1444 Ph: (952) 445-1352 |
| NPI Number | 1972995587 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 02/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972995587 | NPI | - | NPPES |
| 849675700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9527 (Minnesota) | Primary |
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