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BECK DENTAL PLLC
NPI 1902782154
Dentist - General Practice in Bourbonnais, IL

Active since August 13, 2025
588 WILLIAM R. LATHAM SENIOR DR. SUITE #2, BOURBONNAIS, IL 60914(815) 933-6100 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beck Dental Pllc NPPES

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

BECK DENTAL PLLC (NPI 1902782154), doing business as Revere Dental, is a healthcare organization registered as a general practice in Bourbonnais, Illinois and active in the NPI registry since August 2025. The organization lists Mark J. Beck, Owner, as its authorized official.

NPPES Registry Identity

NPI1902782154
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBECK DENTAL PLLC
Location Address588 WILLIAM R. LATHAM SENIOR DR. SUITE #2Bourbonnais, IL 60914
Mailing Address588 William R. Latham Senior Dr. Suite #2Bourbonnais, IL 60914 · (815) 933-6100
Phone(815) 933-6100
Organization SubpartNo
Authorized OfficialMark J. BeckOwner · (630) 805-1687
Enumeration DateAugust 13, 2025
✔ NPI 1902782154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.

Other Names 1

Doing Business AsRevere Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1902782154. It was assigned to this organization in the NPPES registry on August 13, 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 Senior Dr. Suite #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 Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Beck Dental PLLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.