Provider Demographics
NPI:1518055359
Name:BECKLES, LUKMAN BILAL (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:LUKMAN
Middle Name:BILAL
Last Name:BECKLES
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8730 GEORGIA AVE
Mailing Address - Street 2:#308
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3604
Mailing Address - Country:US
Mailing Address - Phone:301-565-3333
Mailing Address - Fax:301-565-3336
Practice Address - Street 1:8730 GEORGIA AVE
Practice Address - Street 2:#308
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3604
Practice Address - Country:US
Practice Address - Phone:301-565-3333
Practice Address - Fax:301-565-3336
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD137991223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics