Provider Demographics
NPI:1144359399
Name:BECK, MARCI (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MARCI
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929B CAPITAL MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4407
Mailing Address - Country:US
Mailing Address - Phone:850-656-2636
Mailing Address - Fax:850-656-0220
Practice Address - Street 1:2929B CAPITAL MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4407
Practice Address - Country:US
Practice Address - Phone:850-656-2636
Practice Address - Fax:850-656-0220
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9826122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist