Michael Becotte, DMD

Individual provider Active NPI General Practice Dentistry · Acton, MA

NPI 1477611127 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477611127
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
17475 (MA)
Practice address
418 Massachusetts Ave
Acton, MA 01720-3723
Phone
(978) 263-4592
NPI assigned
Dec 5, 2006
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)
Yes

State licenses

LicenseStateTypeSpecialty
17475MAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17475 MA Yes

Addresses

Primary practice location

418 Massachusetts Ave
Acton, MA 01720-3723

Mailing address

260 Graniteville Rd
Chelmsford, MA 01824-1028

Other providers in Acton, MA

All providers in Acton, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.