Organization
LEONARD W. BEESLEY, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD W BEESLEY DDS (GENERAL DENTIST)
(906) 482-8602
Entity
Organization
Contact information
Practice address
1111 HECLA ST, HANCOCK, MI 49930-1000
(906) 482-8602
Mailing address
1111 HECLA ST, HANCOCK, MI 49930-1000
(906) 482-8602
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10288
DELTA DENTAL OF MICHIGAN
—
Enumeration date
06/28/2022
Last updated
08/01/2022
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