Healthcare Provider Details

I. General information

NPI: 1861610388
Provider Name (Legal Business Name): CURTIS MARSHAL BECKER D.D.S., M.S.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5055 E KENTUCKY AVE
DENVER CO
80246-3900
US

IV. Provider business mailing address

5055 E KENTUCKY AVE
DENVER CO
80246-3900
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-1877
  • Fax: 303-584-9516
Mailing address:
  • Phone: 303-756-1877
  • Fax: 303-584-9516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberHD1 00009
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: