Provider Demographics
NPI:1114945565
Name:HARMAN, BECKIE ANNE (DDS)
Entity Type:Individual
Prefix:
First Name:BECKIE
Middle Name:ANNE
Last Name:HARMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BECKIE
Other - Middle Name:A
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:5959 S UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121
Mailing Address - Country:US
Mailing Address - Phone:303-795-7674
Mailing Address - Fax:303-794-8947
Practice Address - Street 1:5959 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80121
Practice Address - Country:US
Practice Address - Phone:303-795-7674
Practice Address - Fax:303-794-8947
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO79661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice