MEDICARE: DANIEL BEKKER 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
1	122300000X	Dentist	5691	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043309743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL BEKKER D.D.S.

Provider Business Mailing Address
First Line	:	8028 CORLISS AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4523
Country	:	US
Telephone Number	:	206-527-0343
Fax Number	:	206-525-6539

Provider Business Practice Location Address
First Line	:	8028 CORLISS AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4523
Country	:	US
Telephone Number	:	206-527-0343
Fax Number	:	206-525-6539

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/14/2020

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