Organization
NORTH ALABAMA CENTER FOR COSMETIC AND GENERAL DENTISTRY, P.C.
Active
Other names
Beasley Cosmetic & General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRAD BEASLEY D.M.D. (OWNER)
(256) 233-1400
Entity
Organization
Contact information
Practice address
200 E HOBBS ST, ATHENS, AL 35611-2108
(256) 233-1400
(256) 233-1404
Mailing address
200 E HOBBS ST, ATHENS, AL 35611-2108
(256) 233-1400
(256) 233-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4761
AL
Other
Enumeration date
10/08/2012
Last updated
02/27/2013
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