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NPI Code Detail

MEDICARE: JEFFREY R. BEK, DDS

MEDICARE: JEFFREY R. BEK, 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
1122300000XDentist0401007256VA

General Provider Information

NPI Number : 1104162387
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY R. BEK, DDS
Provider Business Mailing Address
First Line : 1767 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3835
Country : US
Telephone Number : 757-426-6151
Fax Number : 757-426-6235
Provider Business Practice Location Address
First Line : 1767 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3835
Country : US
Telephone Number : 757-426-6151
Fax Number : 757-426-6235
Authorized Official
Title or Position : OFFICE/PATIENT COORDINATOR/ ADMIN
Name : MISS KIMBERLY MEISE
Credential :
Telephone Number : 757-426-6151
Provider Enumeration Date : 12/17/2012
Last Update Date : 10/03/2013

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