| Gary E Eckberg Dds Ltd | |
|
117 E Main St Wyanet IL 61379 | |
| (815) 699-2335 | |
| (815) 699-7039 |
| Full Name | Gary E Eckberg Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 E Main St, Wyanet, Illinois |
| Authorized Official Name and Position | Gary E Eckberg (OWNER DENTIST) |
| Authorized Official Contact | 8156992335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary E Eckberg Dds Ltd Po Box 337 117 E Main St Wyanet IL 61379 Ph: (815) 699-2335 | Gary E Eckberg Dds Ltd 117 E Main St Wyanet IL 61379 Ph: (815) 699-2335 |
| NPI Number | 1528180379 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528180379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19012910 (Illinois) | Primary |