| Brian L. Beckstrom P.c. | |
|
1091 N Bluff St Suite 550 St George UT 84770-4894 | |
| (435) 628-6200 | |
| (435) 652-9051 |
| Full Name | Brian L. Beckstrom P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1091 N Bluff St, St George, Utah |
| Authorized Official Name and Position | Brian Beckstrom (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 4356286200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian L. Beckstrom P.c. 1091 N Bluff St Suite 550 St George UT 84770-4894 Ph: (435) 628-6200 | Brian L. Beckstrom P.c. 1091 N Bluff St Suite 550 St George UT 84770-4894 Ph: (435) 628-6200 |
| NPI Number | 1174057319 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174057319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 93667439921 (Utah) | Primary |
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