Individual
DR. BARRETT NASH BEARDSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
525 OAK CENTRE DR STE 210, SAN ANTONIO, TX 78258-3916
(210) 762-4982
Mailing address
19 CHAMPIONS RUN, SAN ANTONIO, TX 78258-7720
(714) 280-6763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7726693-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
36986
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7726693-9921
UT
Other
Enumeration date
09/14/2010
Last updated
07/08/2023
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