Roger Duane Beck in Wasilla - Pediatric Dentistry
Roger Duane Beck - NPI 1992822811
Roger Duane Beck is a Pediatric Dentistry in Wasilla, Alaska. Roger Duane Beck practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Roger Duane Beck is 1992822811. The last update date is 2014-01-14.
Roger Duane Beck's current location address is 3470 E Meridian Park Loop, Wasilla, Alaska. You can contact this provider via phone number 9073738684 and fax number 9073738465. The mailing address for Roger Duane Beck is 3470 E Meridian Park Loop, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Duane Beck |
|---|---|
| Address | 3470 E Meridian Park Loop, Wasilla, Alaska |
| Phone Number | 9073738684 |
| Fax Number | 9073738465 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1992822811 |
|---|---|
| Provider Enumeration Date | 2007-03-24 |
| Last Updated Date | 2014-01-14 |
Provider Mailing Address Detail
| Address | 3470 E Meridian Park Loop |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996547294 |
| Phone Number | 9073738684 |
| Fax Number | 9073738465 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 924 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1003811 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Roger Duane Beck by the Centers for Medicare & Medicaid Services (CMS)?
The Roger Duane Beck has been assigned the NPI (National Provider Identifier) 1992822811. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Roger Duane Beck is physically located?
The Roger Duane Beck is physically situated at the following address: 3470 E Meridian Park Loop, Wasilla, AK, 996547294.
What is Roger Duane Beck's area of expertise and its corresponding taxonomy classification?
The Roger Duane Beck's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Roger Duane Beck receive its 1992822811 assignment from the Centers for Medicare & Medicaid Services?
The Roger Duane Beck was assigned its 1992822811 by the Centers for Medicare & Medicaid Services on 2007-03-24.
As of what date were the details pertaining to Roger Duane Beck last refreshed?
The information related to the Roger Duane Beck, including its address, specialty, and other relevant details, was last updated on 2014-01-14.
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