Ralph J Becker, D.D.S.

Individual provider Active NPI General Practice Dentistry · Davison, MI

NPI 1336176932 · NPPES record last updated Jul 14, 2020

Key facts

NPI
1336176932
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901014626 (MI)
Practice address
7007 Davison Rd
Davison, MI 48423
Phone
(810) 658-9177
Fax
(810) 658-9166
NPI assigned
Jun 27, 2006
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
014526MIMDGeneral Practice Dentistry
2901014626MIMDGeneral Practice Dentistry
2901021723MIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014526 MI
General Practice Dentistry 1223G0001X 2901021723 MI
General Practice Dentistry 1223G0001X 2901014626 MI Yes

Addresses

Primary practice location

7007 Davison Rd
Davison, MI 48423

Mailing address

7007 Davison Rd
Davison, MI 48423
Phone (810) 658-9177

Other providers in Davison, MI

All providers in Davison, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.