Provider Demographics
NPI:1720202633
Name:BEECH, ANTHONY D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:D
Last Name:BEECH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANTHONY
Other - Middle Name:DAVID
Other - Last Name:BEECH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1565 HOLLENBECK AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5922
Mailing Address - Country:US
Mailing Address - Phone:408-245-6010
Mailing Address - Fax:408-245-6018
Practice Address - Street 1:1565 HOLLENBECK AVE
Practice Address - Street 2:104
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5922
Practice Address - Country:US
Practice Address - Phone:408-245-6010
Practice Address - Fax:408-245-6018
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA279561223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology