Individual
MARK WILLIAM BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4101 WOOLWORTH, OMAHA, NE 68105
(402) 472-1261
Mailing address
2000 S 26TH ST, LINCOLN, NE 68502-3025
(402) 472-1261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5791
NE
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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