Individual
MR. JACK M BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
932 N 50TH STREET, KANSAS CITY, KS 66102
(913) 287-9600
(913) 287-5960
Mailing address
932 N 50TH STREET, KANSAS CITY, KS 66102
(913) 287-9600
(913) 287-5960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4386
KS
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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