Provider Demographics
NPI:1194063271
Name:ECKER, ERIC M (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:ECKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 RURAL AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-3246
Mailing Address - Country:US
Mailing Address - Phone:570-323-8559
Mailing Address - Fax:
Practice Address - Street 1:699 RURAL AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3246
Practice Address - Country:US
Practice Address - Phone:570-323-8559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039325122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist