National Provider Identifier

Theodore C Eckermann, DDS

Theodore C Eckermann, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 621-2040.

NPI 1164593737Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1164593737
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
November 13, 2006
Last Updated
July 08, 2007

Practice Location

  • 539 Long Pond RD
  • Rochester, NY 14612-3073

Phone: (585) 621-2040

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1164593737
Entity Type
Individual
Last Name
Eckermann
First Name
Theodore
Middle Name
C
Credential
DDS
Mailing Street Address
539 Long Pond RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-3073
Mailing Country
US
Mailing Phone
(585) 621-2040
Mailing Fax
(585) 621-2278
Practice Street Address
539 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-3073
Practice Country
US
Practice Phone
(585) 621-2040
Practice Fax
(585) 621-2278
Enumeration Date
November 13, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)