Beck, Roger Duane
Beck, Roger Duane is an individual health care provider with primary practice located at 3470 E Meridian Park Loop , Wasilla AK 99654-7294. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Beck, Roger Duane can be contacted via phone (907) 373-8684.Contact Information
Primary practice address
3470 E Meridian Park Loop
Wasilla AK 99654-7294
Phone: (907) 373-8684
Fax: (907) 373-8465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 924 | Alaska |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 101 | Alaska |
Profile Details
| NPI number | 1992822811 |
|---|---|
| LBN Legal business name | Beck, Roger Duane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2007 |
| Last updated | Jan 14th, 2014 - about 11 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 | 1992822811 | NPPES |
| Alaska | MEDICAID | 1003811 |
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