MEDICARE: DR. LUKMAN BILAL BECKLES D.D.S.,M.S.

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	1223P0700X	Prosthodontics	13799	MD

General Provider Information

NPI Number	:	1518055359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKMAN BILAL BECKLES D.D.S.,M.S.

Provider Business Mailing Address
First Line	:	8730 GEORGIA AVE
Second Line	:	#308
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	301-565-3333
Fax Number	:	301-565-3336

Provider Business Practice Location Address
First Line	:	8730 GEORGIA AVE
Second Line	:	#308
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	301-565-3333
Fax Number	:	301-565-3336

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	10/02/2014

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