| Richard Beck Dmd Pc | |
|
678 Deer Park Ave Babylon NY 11702-1306 | |
| (631) 661-0434 | |
| Not Available |
| Full Name | Richard Beck Dmd Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 678 Deer Park Ave, Babylon, New York |
| Authorized Official Name and Position | Richard Beck (PRESIDENT) |
| Authorized Official Contact | 6316610434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Beck Dmd Pc 678 Deer Park Ave Babylon NY 11702-1306 Ph: () - | Richard Beck Dmd Pc 678 Deer Park Ave Babylon NY 11702-1306 Ph: (631) 661-0434 |
| NPI Number | 1730516600 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/08/2013 |
| Medicare PECOS PAC ID | 8325273196 |
|---|---|
| Medicare Enrollment ID | O20131101001441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730516600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 040821 (New York) | Primary |
| Provider Name | Richard Beck |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770651937 PECOS PAC ID: 5698900462 Enrollment ID: I20131101001481 |
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