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
Fax: (617) 928-7030
Website:

Health care specialties

SpecialtyCodeLicense #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 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427271311 NPPES
Massachusetts MEDICAID 0260169

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