Provider Demographics
NPI:1184401622
Name:BECK DENTAL SURGERY PLLC
Entity type:Organization
Organization Name:BECK DENTAL SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAREQ
Authorized Official - Middle Name:
Authorized Official - Last Name:IZZAT BECK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:346-289-5765
Mailing Address - Street 1:8406 HALL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-4911
Mailing Address - Country:US
Mailing Address - Phone:832-791-3039
Mailing Address - Fax:832-930-7716
Practice Address - Street 1:8406 HALL RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-4911
Practice Address - Country:US
Practice Address - Phone:832-791-3039
Practice Address - Fax:832-930-7716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery