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DR. STEPHEN LANE BECKETT DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1205044641
Individual Registrant:DR. STEPHEN LANE BECKETT DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
700 ZEAGLER DRIVE SUITE 11 PALATKA, FL 32177 US
Tel: 386-328-8337 Fax: 386-328-2366
Tel: 386-328-8337 Fax: 386-328-2366
Contact information for business:
700 ZEAGLER DRIVE SUITE 11 PALATKA, FL 32177 US
Tel: 386-328-8337 Fax: 386-328-2366
Tel: 386-328-8337 Fax: 386-328-2366
Registration Information:
NPI: 1205044641
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | FL | 5629 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
