Individual provider · Type 1 NPI
Blaise C. Eckert, DDS
Oral and Maxillofacial Surgery (Dentist) · Belmont, MA
NPI number
1720096076
Active
Practice location
68 Leonard Street
Belmont, MA 02478
Fax (617) 484-2739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 15432 (MA) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1720096076
Blaise C. Eckert, DDS's National Provider Identifier is 1720096076, issued on Aug 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Belmont, MA. The record was last updated on Dec 8, 2009.