Provider Demographics
NPI:1376695007
Name:ECKDHAL, JANELLE CURTIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:CURTIS
Last Name:ECKDHAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 140
Mailing Address - Street 2:912 16TH AVE.
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-1762
Mailing Address - Country:US
Mailing Address - Phone:608-325-6661
Mailing Address - Fax:608-329-4361
Practice Address - Street 1:912 16TH AVE.
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1762
Practice Address - Country:US
Practice Address - Phone:608-325-6661
Practice Address - Fax:608-329-4361
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5978-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice