Dr. Bradley David Becker, D.D.S.
Dentist, General Practice in Fort Smith, AR. Individual provider (NPI-1).
NPI number1215192000
StatusActive
Last updated in NPPESSep 8, 2008
Details
- NPI
- 1215192000
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley David Becker
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2008
- Last updated
- Sep 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3503 | AR | Yes |
Practice location
3600 Old Greenwood RdSuite 2
Fort Smith, AR 72903-5929
Phone 479-646-0706 · Fax 479-646-0502
Mailing address
3600 Old Greenwood RdSuite 2
Fort Smith, AR 72903-5929
Phone 479-646-0706 · Fax 479-646-0502
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