Provider Demographics
NPI:1174261721
Name:MARIA K BECKER DDS PC
Entity Type:Organization
Organization Name:MARIA K BECKER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-576-5786
Mailing Address - Street 1:PO BOX 1823
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-1823
Mailing Address - Country:US
Mailing Address - Phone:515-576-5786
Mailing Address - Fax:515-576-5128
Practice Address - Street 1:2727 N 15TH ST
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-7203
Practice Address - Country:US
Practice Address - Phone:515-576-5786
Practice Address - Fax:515-576-5128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental