Individual
DANA LEE BEAINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2401 BERNADETTE DR, SUITE 217, COLUMBIA, MO 65203-4672
(573) 445-9405
(573) 445-9446
Mailing address
2401 BERNADETTE DR, SUITE 217, COLUMBIA, MO 65203-4672
(573) 445-9405
(573) 445-9446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2012015356
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012015356
MISSOURI STATE DENTAL LICENSE
MO
Enumeration date
07/25/2011
Last updated
12/04/2017
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