MEDICARE: DR. RICHARD LEANDER BECK

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	1672	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1672	OTHER	SC	LICENSE

General Provider Information

NPI Number	:	1871710517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD LEANDER BECK

Provider Business Mailing Address
First Line	:	531 FOLLY ROAD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412
Country	:	US
Telephone Number	:	843-795-5193
Fax Number	:	843-795-8275

Provider Business Practice Location Address
First Line	:	531 FOLLY ROAD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412
Country	:	US
Telephone Number	:	843-795-5193
Fax Number	:	843-795-8275

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	05/03/2026

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