# CHARLES P BECKWELL, DDS,PLC

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

## Provider details

- **NPI number:** 1487961611
- **Authorized official:** DR. CHARLES PATRICK BECKWELL (OWNER)
- **Authorized official phone:** (586) 777-6440

## Contact information

- **Practice address:** 22301 GREATER MACK AVE, STE \# 1, SAINT CLAIR SHORES, MI 48080-2376
- **Practice address phone:** (586) 777-6440
- **Practice address fax:** (586) 777-3195
- **Mailing address:** 22301 GREATER MACK AVE, STE \# 1, SAINT CLAIR SHORES, MI 48080-2376
- **Mailing address phone:** (586) 777-6440
- **Mailing address fax:** (586) 777-3195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901014857 | MI | Yes |

## Other

- **Enumeration date:** 09/09/2010
- **Last updated:** 09/09/2010