Individual
MR. JOHN LEE EICHELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2345 EAST HIGH STREET, SPRINGFIELD, OH 45505-1321
(933) 732-2017
Mailing address
2345 EAST HIGH STREET, SPRINGFIELD, OH 45505-1321
(933) 732-2017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30017652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0559784
—
OH
01
—
30017652
LICENSE
OH
Enumeration date
08/31/2006
Last updated
07/08/2007
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