Provider Demographics
NPI:1376926006
Name:CHIEM, BECKY DINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BECKY
Middle Name:DINH
Last Name:CHIEM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9912 LORELEI LN NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1246
Mailing Address - Country:US
Mailing Address - Phone:626-551-1063
Mailing Address - Fax:
Practice Address - Street 1:11130 LOMAS BLVD NE STE F2
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5581
Practice Address - Country:US
Practice Address - Phone:505-369-6451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD4360122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist