# CHARLES P BECKWELL DDS, FAMILY&COSMETIC DENTAL,PLC

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

## Provider details

- **NPI number:** 1659689750
- **Authorized official:** CHARLES PATRICK BECKWELL (OWNER)
- **Authorized official phone:** (586) 566-9519

## Contact information

- **Practice address:** 52835 HAYES RD, SHELBY TWP, MI 48315-2522
- **Practice address phone:** (586) 566-9519
- **Mailing address:** 52835 HAYES RD, SHELBY TWP, MI 48315-2522

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010