Provider Demographics
NPI:1821177957
Name:ECKELS, J SCOTT (DDS MS ORTHODONTIST)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:SCOTT
Last Name:ECKELS
Suffix:
Gender:M
Credentials:DDS MS ORTHODONTIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2010 GARFIELD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2527
Mailing Address - Country:US
Mailing Address - Phone:304-422-6477
Mailing Address - Fax:304-865-2048
Practice Address - Street 1:2010 GARFIELD AVE STE 1
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2527
Practice Address - Country:US
Practice Address - Phone:304-422-6477
Practice Address - Fax:304-865-2048
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV32991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics