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NPI Code Detail

MEDICARE: DR. BEAU MARCUS BEECHER D.D.S.

MEDICARE:  DR. BEAU MARCUS BEECHER  D.D.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
11223G0001XGeneral Practice Dentistry08035IA

General Provider Information

NPI Number : 1912918269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEAU MARCUS BEECHER D.D.S.
Provider Business Mailing Address
First Line : 1204 EAGLE RIDGE RD
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-1517
Country : US
Telephone Number : 319-266-5768
Fax Number :
Provider Business Practice Location Address
First Line : 315 E SAN MARNAN DR
Second Line :
City : WATERLOO
State : IA
Zip : 50702-5837
Country : US
Telephone Number : 319-235-6287
Fax Number : 319-235-6740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BEAU MARCUS BEECHER D.D.S.” Practice Location

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