Individual
DR. GREGORY D. BEERNINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
909 LINCOLN CIR SE, ORANGE CITY, IA 51041-1861
(712) 737-4177
(712) 737-8718
Mailing address
909 LINCOLN CIR SE, ORANGE CITY, IA 51041-1861
(712) 737-4177
(712) 737-8718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6960
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216309
—
IA
Enumeration date
05/03/2006
Last updated
01/22/2013
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