# BECKWITH FAMILY DENTAL CARE PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366518391
- **Authorized official:** DR. JOSEPH HASSE KIRKWOOD DDS (GENERAL DENTIST PARTNER)
- **Authorized official phone:** (616) 459-0478

## Contact information

- **Practice address:** 1726 LEONARD ST NE, GRAND RAPIDS, MI 49505-5636
- **Practice address phone:** (616) 459-0478
- **Practice address fax:** (616) 742-6021
- **Mailing address:** 1726 LEONARD ST NE, GRAND RAPIDS, MI 49505-5636
- **Mailing address phone:** (616) 459-0478
- **Mailing address fax:** (616) 742-6021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901013583 | MI | — |
| 122300000X | Dentist | 2901016145 | MI | Yes |
| 122300000X | Dentist | 2901018904 | MI | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020