Individual
JOHN C BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
113 N BANANA RIVER DR, MERRITT ISLAND, FL 32952-2546
(321) 452-8334
(321) 452-8335
Mailing address
585 SOLITAIRE PALM DR, INDIALANTIC, FL 32903-3852
(321) 452-8334
(321) 452-8335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0010879
FL
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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