Provider Demographics
NPI:1790860849
Name:BECK, MARCIA K (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:K
Last Name:BECK
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13330 CALIFORNIA ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-5241
Mailing Address - Country:US
Mailing Address - Phone:402-392-1516
Mailing Address - Fax:
Practice Address - Street 1:13330 CALIFORNIA ST
Practice Address - Street 2:SUITE 110
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-5241
Practice Address - Country:US
Practice Address - Phone:402-392-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4946122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist