DR. BRUCE FARRELL BECKER


Address: 556 N Oak Road, Light House Dental, Plymouth, IN 46563-1664
Phone: 5749363921

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
12009200 IN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200151790B 05

Other Providers BRUCE BECKER

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1104168400 Bruce Harlan Becker Ophthalmology 5365 N Powers Ferry Rd Nw, Atlanta, GA 30327-4627 2013-03-25
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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

Office Location

Street Address 556 N OAK ROAD
LIGHT HOUSE DENTAL
City PLYMOUTH
State IN
Zip Code 46563-1664

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City PLYMOUTH
Zip Code 46563

Improve Information

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Dataset Information

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.

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