Dr. John Mark Beckstead
Periodontist
777 Welch Rd Suite N
Palo Alto
, California 94304-1613
Dr. John Mark Beckstead
Periodontist
777 Welch Rd Suite N
Palo Alto
, California 94304-1613
(650) 321-1265
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. John Mark Beckstead
- 777 Welch Rd Suite N
- Palo Alto, CA
- Zip : 94304-1613
- Fax : (650) 321-1265
- Phone : (650) 321-3443
Second Address
- Dr. John Mark Beckstead
- 777 Welch Rd Suite N
- Palo Alto, CA
- Zip : 94304-1613
- Fax : (650) 321-1265
- Phone : (650) 321-3443
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 35373 | CA |
National Provider Identifier
| NPI | 1093831323 |
|---|---|
| Provider Name | Dr. John Mark Beckstead |
| First Address | Palo Alto, CA 94304-1613 |
| Second Address | Palo Alto, CA 94304-1613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.