Robert Graham Eickelberg, D.D.S.

General Practice Dentistry · Amity Harbor, NY

Individual Active NPI

NPI number 1184814170

Practice location

25 Charleston Dr
Amity Harbor, NY 11701-4150
Phone
(631) 842-0808

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NPI record

NPI
1184814170
Entity type
Individual (Type 1)
Enumeration date
July 26, 2007
Last updated
July 26, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 039447 NY

About Dr. Eickelberg

Robert Graham Eickelberg, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 25 Charleston Dr, Amity Harbor, NY 11701-4150. The NPI number 1184814170 was assigned on July 26, 2007 and the record was last updated on July 26, 2007.

Dr. Eickelberg lists a license in the registry: #039447 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Graham Eickelberg, D.D.S.?

The NPI number is 1184814170.

What is the phone number of Dr. Eickelberg?

The phone number listed for the practice location is (631) 842-0808.

Where is Dr. Eickelberg located?

25 Charleston Dr, Amity Harbor, NY 11701-4150.

What is the taxonomy code for Dr. Eickelberg?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.