Provider Demographics
NPI:1770078313
Name:ECCKER, DAVID E (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:ECCKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7533 THORNWOOD DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-4551
Mailing Address - Country:US
Mailing Address - Phone:619-212-9541
Mailing Address - Fax:
Practice Address - Street 1:333 SAN MATEO BLVD SE UNIT A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-2919
Practice Address - Country:US
Practice Address - Phone:505-436-3432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD4907122300000X
KY10854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist