Beckerman, Michael A
Beckerman, Michael A is an individual health care provider with primary practice located at 512 W Bankhead Hwy , Villa Rica GA 30180-1703. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Beckerman, Michael A can be contacted via phone (770) 459-5179.Contact Information
Primary practice address
512 W Bankhead Hwy
Villa Rica GA 30180-1703
Phone: (770) 459-5179
Fax: (770) 459-5146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN014339 | Georgia |
| Dental Providers / Dentist | 122300000X | DN014339 | Georgia |
Profile Details
| NPI number | 1568834117 |
|---|---|
| LBN Legal business name | Beckerman, Michael A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2015 |
| Last updated | Jun 10th, 2019 - about 6 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.
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