Individual provider · Type 1 NPI

Ralph Mark Eichstaedt, DDS

Oral and Maxillofacial Surgery (Dentist) · Tampa, FL

NPI number 1760530901 Active

Practice location

1060 W Busch Blvd, Suite 105
Tampa, FL 33612-7707

Fax (813) 935-6532

Mailing address

2033 20th Avenue Pkwy
Indian Rocks Beach, FL 33785-2971

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN15139 (FL)

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.

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About NPI 1760530901

Ralph Mark Eichstaedt, DDS's National Provider Identifier is 1760530901, issued on Jan 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.