Individual
DR. BLAISE C ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
68 LEONARD STREET, BELMONT, MA 02478
(617) 484-5266
(617) 484-2739
Mailing address
68 LEONARD STREET, BELMONT, MA 02478
(617) 484-5266
(617) 484-2739
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15432
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015432
TUFTS HEALTH PLAN
MA
01
—
16176
HCHP
MA
Enumeration date
08/03/2006
Last updated
12/08/2009
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