MEDICARE: DR. CYNTHIA SCHUBBE BECKER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12008263A	IN

General Provider Information

NPI Number	:	1316077290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA SCHUBBE BECKER DDS

Provider Business Mailing Address
First Line	:	11333 SPYGLASS RIDGE DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46037-9298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9905 ALLISONVILLE RD
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-2006
Country	:	US
Telephone Number	:	317-849-0999
Fax Number	:	317-849-5641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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