Individual
DR. BRADLEY DAVID BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3600 OLD GREENWOOD RD, SUITE 2, FORT SMITH, AR 72903-5929
(479) 646-0706
(479) 646-0502
Mailing address
3600 OLD GREENWOOD RD, SUITE 2, FORT SMITH, AR 72903-5929
(479) 646-0706
(479) 646-0502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3503
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159196608
—
AR
Enumeration date
07/22/2008
Last updated
09/08/2008
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