Provider Demographics
NPI:1760590939
Name:EICKENHORST, JULIUS W (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:W
Last Name:EICKENHORST
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:7800 NORTH MOPAC
Mailing Address - Street 2:SUITE 250
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8959
Mailing Address - Country:US
Mailing Address - Phone:512-345-9737
Mailing Address - Fax:512-345-9754
Practice Address - Street 1:7800 N MO PAC EXPY
Practice Address - Street 2:SUITE 250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8900
Practice Address - Country:US
Practice Address - Phone:512-345-9737
Practice Address - Fax:512-345-9754
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX98551223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics