# DR. NICOLE ELIZABETH BEASLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447703426
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10344 | NC | Yes |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 02/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447703426 | DELTA DENTAL OF NC | NC |
| 05 | — | 1447703426 | — | NC |