Individual
MR. RALPH DEAN BEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16005 US 23 SOUTH, CATLETTSBURG, KY 41129-9070
(606) 739-0403
(606) 739-0405
Mailing address
16005 US 23 SOUTH, CATLETTSBURG, KY 41129-9705
(606) 739-0403
(606) 739-0405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4556
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60045564
—
KY
Enumeration date
07/13/2007
Last updated
09/19/2018
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