MEDICARE: DR. DAVID ROBERT BECKMAN 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	18940	OH

General Provider Information

NPI Number	:	1427120724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ROBERT BECKMAN DDS

Provider Business Mailing Address
First Line	:	6363 YORK RD
Second Line	:	SUITE 201
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130
Country	:	US
Telephone Number	:	440-886-4030
Fax Number	:	440-887-1838

Provider Business Practice Location Address
First Line	:	6363 YORK RD
Second Line	:	SUITE 201
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130
Country	:	US
Telephone Number	:	440-886-4030
Fax Number	:	440-887-1838

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	03/25/2024

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