Provider Demographics
NPI:1134348121
Name:ECKMAN, JOSEPH F JR (DM D)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:ECKMAN
Suffix:JR
Gender:M
Credentials:DM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COMMERCE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9185
Mailing Address - Country:US
Mailing Address - Phone:610-345-1125
Mailing Address - Fax:610-345-1749
Practice Address - Street 1:1 COMMERCE BLVD
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9185
Practice Address - Country:US
Practice Address - Phone:610-345-1125
Practice Address - Fax:610-345-1749
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0361281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice