Melisa Raquel Beckley, D.D.S.
Individual provider Active NPI General Practice Dentistry · Redlands, CA
NPI 1962697516 · NPPES record last updated Sep 6, 2007
Key facts
- NPI
- 1962697516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 47594 (CA)
- Practice address
- 245 Terracina Blvd
Redlands, CA 92373-4852 - Phone
- (909) 798-4111
- Fax
- (909) 798-4119
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47594 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beckley General Dentistry, Professional Corporation | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47594 | CA | Yes |
Addresses
Primary practice location
245 Terracina Blvd
Redlands, CA 92373-4852
Mailing address
245 Terracina Blvd
Redlands, CA 92373-4852
Phone (909) 798-4111
Other providers in Redlands, CA
- Beaver Medical Group P C
- Beaver Medical Group, L.P.
- Beaver Medical Group, LP
- Beaver Medical Group, LP
- Steven Beck
- Adrianne Latrice Bedeau
- Sarah Beene
- Deborah Lee Behringer
- Fariba Beik
- Whitman Beitel
All providers in Redlands, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.