Thomas A Beci, DDS

Individual provider Active NPI General Practice Dentistry · Walworth, WI

NPI 1306833504 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1306833504
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5001724015 (WI)
Practice address
129 Kenosha St
Walworth, WI 53184-9642
Phone
(262) 275-2333
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5001724015WIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5001724015 WI Yes

Addresses

Primary practice location

129 Kenosha St
Walworth, WI 53184-9642

Mailing address

PO Box 366
125 Prairie Dr
Walworth, WI 53184-0366
Phone (262) 275-2541

Other providers in Walworth, WI

All providers in Walworth, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.