Individual
DR. GARY MELVIN BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
777 DEDHAM ST, NEWTON, MA 02459-3323
(617) 928-7360
(617) 928-7030
Mailing address
944 HUMPHREY ST, SWAMPSCOTT, MA 01907-1407
(617) 928-7360
(617) 928-7030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260169
—
MA
Enumeration date
04/10/2007
Last updated
07/09/2007
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