Provider Demographics
NPI:1134425176
Name:BECK, TURRELL JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:TURRELL
Middle Name:JOSEPH
Last Name:BECK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 W GAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7150
Mailing Address - Country:US
Mailing Address - Phone:509-735-1918
Mailing Address - Fax:509-735-2796
Practice Address - Street 1:8801 W GAGE BLVD
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7150
Practice Address - Country:US
Practice Address - Phone:509-735-1918
Practice Address - Fax:509-735-2796
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000064501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5032073Medicaid