Individual
MICHAEL C. BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2166 E MAIN ST, DANVILLE, IN 46122-9082
(317) 745-7711
(317) 745-1744
Mailing address
2166 E MAIN ST, DANVILLE, IN 46122-9082
(317) 745-7711
(317) 745-1744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009222
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000607321
UNITED CONCORDIA
IN
Enumeration date
05/12/2006
Last updated
07/09/2007
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