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BECK DENTAL PLLC
NPI 1245112333
Clinic/Center - Dental in Bourbonnais, IL

Active since July 22, 2025
588 WILLIAM R LATHAM SR DR STE 2, BOURBONNAIS, IL 60914(815) 933-6100 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Beck Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BECK DENTAL PLLC (NPI 1245112333), doing business as Revere Dental, is a healthcare organization registered as a dental in Bourbonnais, Illinois and active in the NPI registry since July 2025. The organization lists Mark Beck, Owner, as its authorized official.

NPPES Registry Identity

NPI1245112333
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBECK DENTAL PLLC
Location Address588 WILLIAM R LATHAM SR DR STE 2Bourbonnais, IL 60914-2340
Mailing Address588 William R Latham Sr Dr Ste 2Bourbonnais, IL 60914-2340 · (815) 933-6100
Phone(815) 933-6100
Organization SubpartNo
Authorized OfficialMark BeckOwner · (630) 805-1687
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1245112333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
588 WILLIAM R LATHAM SR DR STE 2, Bourbonnais, IL 60914
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Other Names 1

Doing Business AsRevere Dental

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beck Dental PLLC's NPI number?

The NPI number for Beck Dental PLLC is 1245112333. It was assigned to this organization in the NPPES registry on July 22, 2025. The provider is doing business as Revere Dental.

Where is Beck Dental PLLC located?

Beck Dental PLLC is located at 588 William R Latham Sr Dr Ste 2, Bourbonnais, IL 60914. The listed phone number is (815) 933-6100.

What is Beck Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Beck Dental PLLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.