DR. BRUCE FARRELL BECKER (NPI# 1770745374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770745374 |
| Entity Type | Individual |
| Full Name | DR. BRUCE FARRELL BECKER |
| Credential | DDS |
| Practice Address |
556 N Oak Road Light House Dental Plymouth IN 46563-1664 |
| Practice Telephone | 5749363921 |
| Practice Fax Number | 5749361010 |
| Mailing Telephone | 5749363921 |
| Mailing Fax Number | 5749361010 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12009200 | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200151790B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104168400 | Bruce Harlan Becker | Ophthalmology | 5365 N Powers Ferry Rd Nw, Atlanta, GA 30327-4627 | 2013-03-25 |
| 1174623672 | Bruce David Becker | Chiropractor | 11862 Sunrise Valley Dr, Suite 101, Reston, VA 20191-3302 | 2006-09-24 |
| 1033113808 | Bruce Carl Becker II | Family Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2005-06-09 |
| 1811168545 | Bruce Robert Becker | Social Worker | 16 Pompton Ave, Pompton Lakes, NJ 07442-1895 | 2008-03-20 |
| 1720195340 | Bruce A Becker | Nurse Practitioner | 550 University Blvd, Indianapolis, IN 46202-5149 | 2006-08-23 |
| 1891719712 | Bruce M Becker | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2006-07-26 |
| 1346282589 | Bruce Becker | Physical Medicine & Rehabilitation | 105 W 8th Ave, Spokane, WA 99204-2302 | 2006-06-12 |
| 1376584433 | Bruce B Becker | Specialist | 5363 Balboa Blvd, Suite 246, Encino, CA 91316-2805 | 2006-06-09 |
| 1255312104 | Bruce Becker | Internal Medicine | 20 Hope Ave, Ste G10, Waltham, MA 02453-2721 | 2005-11-08 |
| 1326037227 | Bruce A Becker | Internal Medicine | 200 Madison Ave, Suite 2c, Elmira, NY 14901-3218 | 2005-10-14 |
| Street Address |
556 N OAK ROAD LIGHT HOUSE DENTAL |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1043720675 | Taylor Dental Associates PC | Dentist | 106 Colony Place Rd, Plymouth, MA 02360-7233 | 2017-10-10 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| 1831565969 | Annelise Nelson | Dentist | 15535 34th Ave N Ste 250, Plymouth, MN 55447-2171 | 2015-08-12 |
| 1467870303 | Paul Boettner Dds Pllc | Dentist | 1485 County Road 101 N, Plymouth, MN 55447-3053 | 2014-03-28 |
| 1083037931 | Nicole Haus | Dentist | 3001 Harbor Ln N Ste 100, Plymouth, MN 55447-8740 | 2014-01-29 |
| 1669743738 | W H Dental, Pllc | Dentist | 17610 19th Ave N, Suite 8, Plymouth, MN 55447-2600 | 2012-01-22 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.