Individual
JACOB ECKSTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 N NEW BALLAS RD STE 382, CREVE COEUR, MO 63141-6819
(314) 994-3737
Mailing address
4567 W PINE BLVD APT 302, SAINT LOUIS, MO 63108-2175
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2023006992
MO
Other
Enumeration date
08/30/2018
Last updated
09/18/2025
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