Individual
ROBERT BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DS
Contact information
Practice address
626 SNYDER AVE, PHILA, PA 19148-2419
(215) 334-4900
(215) 334-9721
Mailing address
432 N 6TH ST, PHILA, PA 19123-4004
(215) 925-2400
(215) 925-4201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025989L
PA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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