Provider Demographics
NPI:1407088222
Name:ECKLAND, COLBY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:COLBY
Middle Name:A
Last Name:ECKLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15965 NE 85TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3593
Mailing Address - Country:US
Mailing Address - Phone:425-885-1873
Mailing Address - Fax:425-629-3584
Practice Address - Street 1:15965 NE 85TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3593
Practice Address - Country:US
Practice Address - Phone:425-885-1873
Practice Address - Fax:425-629-3584
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601028011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice