Julie Becker, Dds, Pc | |
3820 S Fremont Ave Springfield MO 65804-6503 | |
(417) 882-0948 | |
(417) 882-7548 |
Full Name | Julie Becker, Dds, Pc |
---|---|
Speciality | Dentist |
Location | 3820 S Fremont Ave, Springfield, Missouri |
Authorized Official Name and Position | Melvina Tucker (OFFICE MANAGER) |
Authorized Official Contact | 4178820948 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Julie Becker, Dds, Pc 3820 S Fremont Ave Springfield MO 65804-6503 Ph: (417) 882-0948 | Julie Becker, Dds, Pc 3820 S Fremont Ave Springfield MO 65804-6503 Ph: (417) 882-0948 |
NPI Number | 1689642308 |
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Provider Enumeration Date | 03/09/2006 |
Last Update Date | 04/13/2022 |
Medicare PECOS PAC ID | 3072600790 |
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Medicare Enrollment ID | O20071029000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689642308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Michael A Horan |
---|---|
Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1861460263 PECOS PAC ID: 0345337069 Enrollment ID: I20111222000610 |
Provider Name | Julie B Becker |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1124096912 PECOS PAC ID: 1254428972 Enrollment ID: I20111222000611 |
Provider Name | Michael J Mcnaught |
---|---|
Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1124222435 PECOS PAC ID: 2961623897 Enrollment ID: I20170405002295 |
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