Individual
DR. SAMUEL BECK
Active
Individual
DR. SAMUEL BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401417924
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D4377-OS
ID
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D4377-OS
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2008
Last updated
08/13/2025
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