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NPI Code Detail

MEDICARE: DR. ANDREA R BECKFORD DDS

MEDICARE:  DR. ANDREA R BECKFORD  DDS
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
1122300000XDentist1023GU
2122300000XDentist2901022137MI
3122300000XDentist12013410AIN

General Provider Information

NPI Number : 1043316557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA R BECKFORD DDS
Provider Business Mailing Address
First Line : 9045 US HIGHWAY 31 STE 1
Second Line :
City : BERRIEN SPRINGS
State : MI
Zip : 49103-1804
Country : US
Telephone Number : 269-471-5244
Fax Number : 269-471-9232
Provider Business Practice Location Address
First Line : 9045 US HIGHWAY 31
Second Line :
City : BERRIEN SPRINGS
State : MI
Zip : 49103-1804
Country : US
Telephone Number : 989-533-1888
Fax Number : 269-471-9232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 09/24/2024

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Directions to “ DR. ANDREA R BECKFORD DDS” Practice Location

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