Provider Demographics
NPI:1770552333
Name:ECKSTEIN, PAUL F (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:ECKSTEIN
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 1:321 BATH CLUB BLVD S
Mailing Address - Street 2:
Mailing Address - City:NORTH REDINGTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33708-1533
Mailing Address - Country:US
Mailing Address - Phone:727-319-6019
Mailing Address - Fax:727-398-6019
Practice Address - Street 1:6019 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-7336
Practice Address - Country:US
Practice Address - Phone:727-319-6019
Practice Address - Fax:727-398-6019
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN128891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice