| Lawrence H. Beck Dds Pc | |
|
1903 10th Ave Port Huron MI 48060-3105 | |
| (810) 985-3200 | |
| (810) 985-3752 |
| Full Name | Lawrence H. Beck Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1903 10th Ave, Port Huron, Michigan |
| Authorized Official Name and Position | Amy Rayne Davis (OFFICE MANAGER) |
| Authorized Official Contact | 8109853200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence H. Beck Dds Pc 1903 10th Ave Port Huron MI 48060-3105 Ph: (810) 985-3200 | Lawrence H. Beck Dds Pc 1903 10th Ave Port Huron MI 48060-3105 Ph: (810) 985-3200 |
| NPI Number | 1033391230 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 01/21/2025 |
| Medicare PECOS PAC ID | 3173592607 |
|---|---|
| Medicare Enrollment ID | O20040930000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033391230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901016443 (Michigan) | Primary |
| Provider Name | Maurizio Mirabelli |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1235268434 PECOS PAC ID: 2860461944 Enrollment ID: I20041104000064 |
| Provider Name | Christopher B Beck |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1104956226 PECOS PAC ID: 8820051386 Enrollment ID: I20041105000975 |
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