Beckett, Gary Melvin
Beckett, Gary Melvin is an individual health care provider with primary practice located at 777 Dedham St , Newton MA 02459-3323. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Beckett, Gary Melvin can be contacted via phone (617) 928-7360.Contact Information
Primary practice address
777 Dedham St
Newton MA 02459-3323
Phone: (617) 928-7360
Fax: (617) 928-7030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15111 | Massachusetts |
Profile Details
| NPI number | 1427271311 |
|---|---|
| LBN Legal business name | Beckett, Gary Melvin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427271311 | NPPES |
| Massachusetts | MEDICAID | 0260169 |
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