Provider Demographics
NPI:1881395564
Name:BECKWITH, ABBY ANN (DDS)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:ANN
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 27TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2397
Mailing Address - Country:US
Mailing Address - Phone:402-564-7575
Mailing Address - Fax:
Practice Address - Street 1:3611 27TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2397
Practice Address - Country:US
Practice Address - Phone:402-564-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program