Individual
RUSSELL P BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1520 WASHINGTON ST, NEW CASTLE, IN 47362-4355
(765) 521-0390
(765) 529-3218
Mailing address
1520 WASHINGTON ST, NEW CASTLE, IN 47362-4355
(765) 521-0390
(765) 529-3218
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007134
IN
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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