Healthcare Provider Details

I. General information

NPI: 1336196823
Provider Name (Legal Business Name): JOSEPH H. BECHT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 ARCAND DR LOWELL DENTISTRY FOR CHILDREN
LOWELL MA
01852-1026
US

IV. Provider business mailing address

6 PRISCILLA LN
WINCHESTER MA
01890-4021
US

V. Phone/Fax

Practice location:
  • Phone: 978-323-4399
  • Fax: 978-459-6665
Mailing address:
  • Phone: 781-721-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number03672
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number20102
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number053493-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: