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General NPI Number Information
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NPI Number | 1508729682
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Entity Type | Organization
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Legal Business Name | ECKER ORAL SURGERY, PA
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7800 SW 57TH AVE STE 227
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5523
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Country | US
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Telephone | 305-404-5447
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Fax |
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Provider Business Mailing Address
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Address Line | 7800 SW 57TH AVE STE 227
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5523
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Country | US
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Telephone | 305-404-5447
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JORDAN ECKER
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Credential | DDS, MD
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Telephone | 914-552-1945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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