Individual
J. BRADLEY ECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
413 EAST MAIN ST, BATAVIA, NY 14020
(585) 343-1900
(585) 343-3601
Mailing address
413 EAST MAIN ST, BATAVIA, NY 14020
(585) 343-1900
(585) 343-3601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
043998
NY
1223P0221X
Pediatric Dentistry
Primary
043998-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01306610
—
NY
Enumeration date
10/11/2006
Last updated
03/30/2021
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