Individual
DR. CHARLES STEPHEN BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
85 DONOHOE DR, HUNTINGTON, WV 25705-8887
(304) 781-5159
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2113
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134497000
—
WV
05
—
2878391
—
OH
05
—
7100213020
—
KY
Enumeration date
06/08/2005
Last updated
07/24/2024
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