Individual
DR. THOMAS WALTER BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
54 S. MEDICAL PARK DR., FISHERVILLE, VA 22939
(540) 886-2956
(540) 886-2284
Mailing address
54 S. MEDICAL PARK DR., FISHERVILLE, VA 22939
(540) 886-2956
(540) 886-2284
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
040680-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000253
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30-022293
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178969
DORAL
—
Enumeration date
03/23/2006
Last updated
12/03/2008
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