MEDICARE: CYNTHIA SCHUBBE BECKER DDS PC

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	1223G0001X	General Practice Dentistry	8263	IN

General Provider Information

NPI Number	:	1457481723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA SCHUBBE BECKER DDS PC

Provider Business Mailing Address
First Line	:	9905 ALLISONVILLE RD
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-2006
Country	:	US
Telephone Number	:	317-849-0999
Fax Number	:	317-849-5641

Provider Business Practice Location Address
First Line	:	9905 ALLISONVILLE RD
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-2006
Country	:	US
Telephone Number	:	317-849-0999
Fax Number	:	317-849-5641

Authorized Official
Title or Position	:	CORPORATE SECRETARY
Name	:	MRS. THOMAS L BECKER
Credential	:
Telephone Number	:	317-849-0999

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	08/22/2020

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