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General NPI Number Information
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NPI Number | 1770078313
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Entity Type | Individual
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Provider Name | DAVID E ECCKER DMD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 800 ROSE ST # D202
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-323-6525
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Fax | 859-257-8584
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Provider Business Mailing Address
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Address Line | 7533 THORNWOOD DR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-4551
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Country | US
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Telephone | 619-212-9541
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10854
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DD4907
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 10854
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License Number State | KY
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