Provider Demographics
NPI:1801338959
Name:MEGAN E BECKWITH DMD PC
Entity type:Organization
Organization Name:MEGAN E BECKWITH DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ELOISE
Authorized Official - Last Name:BECKWITH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:605-347-2509
Mailing Address - Street 1:1245 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-1504
Mailing Address - Country:US
Mailing Address - Phone:605-347-2509
Mailing Address - Fax:605-347-2500
Practice Address - Street 1:1245 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-1504
Practice Address - Country:US
Practice Address - Phone:605-347-2509
Practice Address - Fax:605-347-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDD1003261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental