Provider Demographics
NPI:1902414980
Name:DR. RALPH J. BECKER DDS PC
Entity Type:Organization
Organization Name:DR. RALPH J. BECKER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-658-9177
Mailing Address - Street 1:7007 DAVISON RD
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-2005
Mailing Address - Country:US
Mailing Address - Phone:810-658-9177
Mailing Address - Fax:810-658-9166
Practice Address - Street 1:7007 DAVISON RD
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-2005
Practice Address - Country:US
Practice Address - Phone:810-658-9177
Practice Address - Fax:810-658-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental