Individual
DR. MICHAEL LUTHER BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1419 E ERIE ST, SPRINGFIELD, MO 65804-6487
(417) 887-6882
Mailing address
1419 E ERIE ST, SPRINGFIELD, MO 65804-6487
(417) 887-6882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13900
MO
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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