Provider Demographics
NPI:1063491942
Name:BECKLER, ANTHONY T (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:T
Last Name:BECKLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 SW 29TH
Mailing Address - Street 2:SUITE 224
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-1738
Mailing Address - Country:US
Mailing Address - Phone:785-267-6886
Mailing Address - Fax:785-267-3152
Practice Address - Street 1:2400 SW 29TH
Practice Address - Street 2:SUITE 224
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-1738
Practice Address - Country:US
Practice Address - Phone:785-267-6886
Practice Address - Fax:785-267-3152
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS63031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice