Provider Demographics
NPI:1316568900
Name:BEECH & REID DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:BEECH & REID DENTAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEECH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-212-5133
Mailing Address - Street 1:1565 HOLLENBECK AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4300
Mailing Address - Country:US
Mailing Address - Phone:831-212-5133
Mailing Address - Fax:
Practice Address - Street 1:464 E CALAVERAS BLVD STE B3
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5412
Practice Address - Country:US
Practice Address - Phone:408-263-2962
Practice Address - Fax:408-263-6703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty