Michael Peter Becht, D.M.D., M.S.

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Louisville, KY

NPI 1194933036 · NPPES record last updated Aug 30, 2012

Key facts

NPI
1194933036
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
833 (KY)
Practice address
107 N Watterson TRL
Suite 103
Louisville, KY 40243-1381
Phone
(502) 245-2175
Fax
(502) 245-4577
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8368KYMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 833 KY Yes
Dentist 122300000X 8368 KY

Addresses

Primary practice location

107 N Watterson TRL
Suite 103
Louisville, KY 40243-1381

Mailing address

107 N Watterson TRL
Suite 103
Louisville, KY 40243-1381
Phone (502) 245-2175

Other providers in Louisville, KY

All providers in Louisville, KY · Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.