Provider Demographics
NPI:1346431939
Name:DR. STEVEN J. BECKER DMD, PC.
Entity Type:Organization
Organization Name:DR. STEVEN J. BECKER DMD, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:757-838-7879
Mailing Address - Street 1:1B RIVERDALE DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3519
Mailing Address - Country:US
Mailing Address - Phone:757-838-7879
Mailing Address - Fax:757-838-7879
Practice Address - Street 1:1B RIVERDALE DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3519
Practice Address - Country:US
Practice Address - Phone:757-838-7879
Practice Address - Fax:757-838-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental