Organization
BRETT ECKLEY DDS MS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT EDWARD ECKLEY DDS (PRESIDENT)
(304) 252-0771
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137774000
—
WV
05
—
3810000276
—
WV
Enumeration date
01/13/2009
Last updated
01/13/2009
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