Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164631651 Deactivated / Inactive NPI Male Practitioner

Dr. G Douglas Beck , DDS

Dentist - General Practice • Mill Creek, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. G Beck has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007
NPI Deactivation Date June 14, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. G Beck, DDS was a registered Dentist - General Practice practicing in Mill Creek, WA. Throughout an active medical career spanning 16 years, Dr. Beck provided care at the practice location at 1617 183RD ST SE STE 1 until profile deactivation on 2023-06-14.

Practice Location & Contact Primary Location

Practice Address

1617 183rd St Se Ste 1

Mill Creek, WA 980126812

Telephone 4254811889
Fax 4253680625
Associated Practice Facility / Clinic
🏢 Wildwood Dental Group Facility NPI 1659580249

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mill Creek, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Mill Creek, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE 04901

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2013

Registered at 1617 183RD ST SE STE 1, MILL CREEK, WA 980126812 (Tel: 4254811889)

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Updated Business Mailing Address September 18, 2013

Registered at 18918 NE 194TH ST, WOODINVILLE, WA 980778278 (Tel: 4253680611)

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Provider Name / Credentials Updated September 18, 2013

Recorded as G BECK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Dentist (License #DE 04901 in WA)

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Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164631651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: September 18, 2013
Deactivation Date: June 14, 2023

Mailing Address

18918 Ne 194th St

Woodinville, WA 980778278

Phone: 4253680611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.