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DR. SHAWN ECKSTROM D.D.S. P.C. NPI 1790172831


NPI Information

NPI: 1790172831
Provider Name: DR. SHAWN ECKSTROM, D.D.S., P.C.

Other Name: NORTHWEST EUGENE FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
51 SANTA CLARA AVE
EUGENE, OR
ZIP 97404
Phone: (541) 686-4567
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DR. SHAWN ECKSTROM, D.D.S., P.C. is a general practice dentist in Eugene, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. SHAWN ECKSTROM, D.D.S., P.C. NPI is 1790172831. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Northwest Eugene Family Dental.

The provider's business location address is:

51 SANTA CLARA AVE
EUGENE, OR
ZIP 97404-077
Phone: (541) 686-4567
Fax: (541) 228-3230

The provider's authorized official is Shawn A. Eckstrom .
The authorized official title is Owner and has the following contact phone number (541) 686-4567.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 4/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD7979OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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