| Julie Becker, DDS, PC | |
|
3820 S Fremont Ave Springfield MO 65804-6503 | |
| (417) 882-0948 | |
| (417) 882-7548 |
| Full Name | Julie Becker, DDS, PC |
|---|---|
| Speciality | Dentist |
| Location | 3820 S Fremont Ave, Springfield, Missouri |
| Authorized Official Name and Position | Melvina Tucker (OFFICE MANAGER) |
| Authorized Official Contact | 4178820948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Becker, DDS, PC 3820 S Fremont Ave Springfield MO 65804-6503 Ph: (417) 882-0948 | Julie Becker, DDS, PC 3820 S Fremont Ave Springfield MO 65804-6503 Ph: (417) 882-0948 |
| NPI Number | 1689642308 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Medicare PECOS PAC ID | 3072600790 |
|---|---|
| Medicare Enrollment ID | O20071029000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689642308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
| Provider Name | Michael a Horan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1861460263 PECOS PAC ID: 0345337069 Enrollment ID: I20111222000610 |
| Provider Name | Julie B Becker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1124096912 PECOS PAC ID: 1254428972 Enrollment ID: I20111222000611 |
| Provider Name | Michael J Mcnaught |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1124222435 PECOS PAC ID: 2961623897 Enrollment ID: I20170405002295 |
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