Individual
DR. JIM K BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1619 N GREENWOOD ST, SUITE 308, PUEBLO, CO 81003-2644
(719) 544-0901
(719) 544-0625
Mailing address
1619 N GREENWOOD ST, SUITE 308, PUEBLO, CO 81003-2644
(719) 544-0901
(719) 544-0625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
HD104952
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
HD104952
CO
1223X2210X
Orofacial Pain Dentistry
Primary
HD104952
CO
332B00000X
Durable Medical Equipment & Medical Supplies
HD104952
CO
Other
Enumeration date
12/18/2006
Last updated
10/06/2023
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