Individual
DR. JUSTIN LEE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4600 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2008
(405) 755-5400
(405) 755-8484
Mailing address
4600 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2008
(405) 755-5400
(405) 722-8428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5661
OK
1223G0001X
General Practice Dentistry
5661
OK
Other
Enumeration date
06/27/2006
Last updated
05/31/2024
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