Paul Clinton Becker in Long Lake - General Practice
Paul Clinton Becker - NPI 1164543823
Paul Clinton Becker is a General Practice in Long Lake, Minnesota. Paul Clinton Becker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul Clinton Becker is 1164543823. The last update date is 2007-07-08.
Paul Clinton Becker's current location address is 2725 White Oak Cir, Long Lake, Minnesota. You can contact this provider via phone number 9524732391. The mailing address for Paul Clinton Becker is 2725 White Oak Cir, Long Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Clinton Becker |
|---|---|
| Address | 2725 White Oak Cir, Long Lake, Minnesota |
| Phone Number | 9524732391 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164543823 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2725 White Oak Cir |
|---|---|
| City | Long Lake |
| State | Minnesota (MN) |
| Post Code | 553569747 |
| Phone Number | 9524732391 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9788 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Paul Clinton Becker by the Centers for Medicare & Medicaid Services?
The Paul Clinton Becker has been issued the NPI (National Provider Identifier) 1164543823. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Paul Clinton Becker?
The Paul Clinton Becker is physically situated at 2725 White Oak Cir, in the city of Long Lake, state of MN, with the postal code 553569747.
What is Paul Clinton Becker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul Clinton Becker is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Paul Clinton Becker receive its 1164543823 assignment from the Centers for Medicare & Medicaid Services?
The Paul Clinton Becker was assigned its 1164543823 by the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the Paul Clinton Becker's information last updated?
The Paul Clinton Becker's information was last updated on 2007-07-08.