Provider Demographics
NPI:1184725657
Name:BECK, VERNON LYLE (DDS)
Entity type:Individual
Prefix:
First Name:VERNON
Middle Name:LYLE
Last Name:BECK
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 NW MYHRE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7669
Mailing Address - Country:US
Mailing Address - Phone:360-692-6332
Mailing Address - Fax:360-692-1729
Practice Address - Street 1:2430 NW MYHRE RD STE 201
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7669
Practice Address - Country:US
Practice Address - Phone:360-692-9560
Practice Address - Fax:360-692-1729
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00008404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist