Gary E Eckberg DDS LTD
General Practice Dentistry · Wyanet, IL
Practice location
117 E Main StWyanet, IL 61379
- Phone
- (815) 699-2335
- Fax
- (815) 699-7039
NPI record
- NPI
- 1528180379
- Entity type
- Organization (Type 2)
- Enumeration date
- April 4, 2007
- Last updated
- August 22, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
19012910 | IL |
Mailing address
PO Box 337117 E Main St
Wyanet, IL 61379
- Phone
- (815) 699-2335
- Fax
- (815) 699-7039
Authorized official
- Name
- Gary E Eckberg, DDS
- Title
- Owner Dentist
- Phone
- (815) 699-2335
About Gary E Eckberg DDS LTD
Gary E Eckberg DDS LTD is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 117 E Main St, Wyanet, IL 61379. The NPI number 1528180379 was assigned on April 4, 2007 and the record was last updated on August 22, 2020.
Gary E Eckberg DDS LTD lists a license in the registry: #19012910 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Gary E Eckberg, DDS, Owner Dentist.
Frequently asked questions
What is the NPI number of Gary E Eckberg DDS LTD?
The NPI number is 1528180379.
What is the phone number of Gary E Eckberg DDS LTD?
The phone number listed for the practice location is (815) 699-2335.
Where is Gary E Eckberg DDS LTD located?
117 E Main St, Wyanet, IL 61379.
What is the taxonomy code for Gary E Eckberg DDS LTD?
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.
Other General Practice Dentistry providers in Wyanet
- Gary Edmund Eckberg, DDS117 E Main St