Individual
DR. JON J ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, ABO
Contact information
Practice address
201 VAN GUNDY DR, STE. C, BRYAN, OH 43506-1178
(419) 636-5918
(419) 636-0752
Mailing address
201 VAN GUNDY DR STE C, BRYAN, OH 43506-1179
(419) 636-5918
(419) 636-0752
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2412900
—
OH
Enumeration date
07/28/2006
Last updated
07/09/2007
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