Provider Demographics
NPI:1407019235
Name:EICKHOFF, WILLIAM LAWRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LAWRENCE
Last Name:EICKHOFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:840 US HIGHWAY #1
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3834
Mailing Address - Country:US
Mailing Address - Phone:561-694-1740
Mailing Address - Fax:561-694-7597
Practice Address - Street 1:840 US HIGHWAY #1
Practice Address - Street 2:SUITE 350
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3834
Practice Address - Country:US
Practice Address - Phone:561-694-1740
Practice Address - Fax:561-694-7597
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLFL5686332B00000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies