Provider Demographics
NPI:1154626984
Name:JAMES E. ECKHART DDS, INC
Entity Type:Organization
Organization Name:JAMES E. ECKHART DDS, INC
Other - Org Name:ECKHART ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ECKHART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-540-5911
Mailing Address - Street 1:21210 ANZA AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5418
Mailing Address - Country:US
Mailing Address - Phone:310-540-5911
Mailing Address - Fax:
Practice Address - Street 1:21210 ANZA AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5418
Practice Address - Country:US
Practice Address - Phone:310-540-5911
Practice Address - Fax:310-698-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty