Individual
MICHAEL A BECKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
512 W BANKHEAD HWY, VILLA RICA, GA 30180-1703
(770) 459-5179
(770) 459-5146
Mailing address
512 W BANKHEAD HWY, VILLA RICA, GA 30180-1703
(770) 549-5197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014339
GA
1223G0001X
General Practice Dentistry
DN014339
GA
Other
Enumeration date
10/22/2015
Last updated
06/10/2019
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