Provider Demographics
NPI:1437639291
Name:BEECH & REID DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:BEECH & REID DENTAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ORAL SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BEECH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-245-6010
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:408-245-6010
Mailing Address - Fax:408-245-6018
Practice Address - Street 1:1565 HOLLENBECK AVE STE 104
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4300
Practice Address - Country:US
Practice Address - Phone:408-245-6010
Practice Address - Fax:408-245-6018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA613401223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty