Shane K. Eckels, DMD
Dentist, General Practice in Altamonte Springs, FL. Individual provider (NPI-1).
NPI number1801201892
StatusActive
Last updated in NPPESJun 27, 2014
Details
- NPI
- 1801201892
- Entity type
- Individual (NPI-1)
- Name
- Shane K. Eckels
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2014
- Last updated
- Jun 27, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN 20739 | FL | Yes |
Practice location
926 Great Pond Dr Ste 1000Altamonte Springs, FL 32714-7244
Phone 407-862-0444
Mailing address
926 Great Pond Dr Ste 2002Altamonte Springs, FL 32714-7244
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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