Individual
DR. DOUGLAS EDWARD BEILSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1041 CRICKET LN, MANSFIELD, OH 44906-4105
(419) 526-4249
Mailing address
1179 PEARCE DR, MANSFIELD, OH 44906-2960
(419) 526-2966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250713
—
OH
01
—
14266
STATE LISCENCE
OH
01
—
34120755326
CARESOURCE #
OH
01
—
9183637
DORAL #
OH
Enumeration date
01/30/2007
Last updated
07/09/2007
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