Organization
JOHN C BEATY DDS, FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C BEATY DDS (PRESIDENT)
(321) 452-8334
Entity
Organization
Contact information
Practice address
113 N BANANA RIVER DR, MERRITT ISLAND, FL 32952-2546
(321) 452-8334
(321) 452-8335
Mailing address
113 N BANANA RIVER DR, MERRITT ISLAND, FL 32952-2546
(321) 452-8334
(321) 452-8335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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