Individual
SHAWN A ECKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
51 SANTA CLARA AVE, EUGENE, OR 97404-2077
(541) 686-4567
(541) 228-3230
Mailing address
51 SANTA CLARA AVE, EUGENE, OR 97404-2077
(541) 686-4567
(541) 228-3230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7979
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229349
—
OR
Enumeration date
11/23/2005
Last updated
10/07/2016
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