Individual
DR. MICHAEL JEFFREY BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2826 ROSS CLARK CIR STE 305, DOTHAN, AL 36301-2017
(334) 305-3290
(334) 305-3310
Mailing address
2826 ROSS CLARK CIR STE 305, DOTHAN, AL 36301-2017
(334) 305-3290
(334) 305-3310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4070
AL
122300000X
Dentist
Primary
D.0004070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008605620
—
AL
Enumeration date
07/29/2006
Last updated
08/07/2025
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