Individual
DR. THOMAS WILSON BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
589 MOULL ST, NEWARK, OH 43055-2909
(740) 366-4154
Mailing address
589 MOULL ST, NEWARK, OH 43055-2909
(740) 366-4154
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-015813
OH
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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