Individual
DR. BRETT ECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
1804 HARPER RD, BECKLEY, WV 25801-3331
(304) 252-0771
(304) 253-1281
Mailing address
1804 HARPER RD, BECKLEY, WV 25801-3331
(304) 252-0771
(304) 253-1281
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3507
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000276
—
WV
Enumeration date
03/13/2007
Last updated
07/08/2007
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