# RUSSELL P. BECKETT, D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Russell P. Beckett
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174653620
- **Authorized official:** DR. RUSSELL P. BECKETT D.D.S. (PRESIDENT)
- **Authorized official phone:** (765) 521-0390

## Contact information

- **Practice address:** 1520 WASHINGTON ST, NEW CASTLE, IN 47362-4355
- **Practice address phone:** (765) 521-0390
- **Practice address fax:** (765) 529-3218
- **Mailing address:** 1520 WASHINGTON ST, NEW CASTLE, IN 47362-4355
- **Mailing address phone:** (765) 521-0390
- **Mailing address fax:** (765) 529-3218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12007134 | IN | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020