Blaise C Eckert in Belmont - Oral And Maxillofacial Surgery

Blaise C Eckert - NPI 1720096076

Blaise C Eckert is a Oral And Maxillofacial Surgery in Belmont, Massachusetts. Blaise C Eckert practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Blaise C Eckert is 1720096076. The last update date is 2009-12-08.

Blaise C Eckert's current location address is 68 Leonard Street, Belmont, Massachusetts. You can contact this provider via phone number 6174845266 and fax number 6174842739. The mailing address for Blaise C Eckert is 68 Leonard Street, Belmont, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Blaise C Eckert
Address 68 Leonard Street, Belmont, Massachusetts
Phone Number 6174845266
Fax Number 6174842739
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1720096076
Provider Enumeration Date 2006-08-03
Last Updated Date 2009-12-08

Provider Mailing Address Detail

Address 68 Leonard Street
City Belmont
State Massachusetts (MA)
Post Code 2478
Phone Number 6174845266
Fax Number 6174842739

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 15432
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15432 MA TUFTS HEALTH PLAN
16176 MA HCHP

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FAQs about Blaise C Eckert

What is the unique identifier code issued to Blaise C Eckert by the Centers for Medicare & Medicaid Services (CMS)?

The Blaise C Eckert has been assigned the NPI (National Provider Identifier) 1720096076. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Blaise C Eckert's facilities are geographically located?

The facilities of Blaise C Eckert are physically situated at the following location: 68 Leonard Street, Belmont, MA, 2478.

What is Blaise C Eckert's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Blaise C Eckert is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did the Blaise C Eckert receive its 1720096076 assignment from the Centers for Medicare & Medicaid Services?

The Blaise C Eckert was assigned its 1720096076 by the Centers for Medicare & Medicaid Services on 2006-08-03.

When was the information regarding Blaise C Eckert, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Blaise C Eckert, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-08.

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