Individual
DR. RICHARD A BEATTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
259 ALLEGHENY ST, JERSEY SHORE, PA 17740-1422
(570) 398-4266
(570) 398-2871
Mailing address
259 ALLEGHENY ST, JERSEY SHORE, PA 17740-1422
(570) 398-4266
(570) 398-2871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020157L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS020157L
STATE LICENSE #
PA
Enumeration date
03/22/2006
Last updated
07/08/2007
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