Virgil A Beadle is a Dentist in Carbondale, Illinois. Virgil A Beadle practices all healthcare services and medical treatments related to Dentist. The NPI Number for Virgil A Beadle is 1609943091. The last update date is 2007-07-08.
Virgil A Beadle's current location address is #4 Crown Lane, Carbondale, Illinois. You can contact this provider via phone number 6184574137 and fax number 6183511081. The mailing address for Virgil A Beadle is #4 Crown Lane, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Virgil A Beadle |
|---|---|
| Address | #4 Crown Lane, Carbondale, Illinois |
| Phone Number | 6184574137 |
| Fax Number | 6183511081 |
| Sole Proprietor | N |
| Credentials | DDX |
NPI Number Detail
| NPI Number | 1609943091 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | #4 Crown Lane |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629037604 |
| Phone Number | 6184574137 |
| Fax Number | 6183511081 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19A12875 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10711 | MO | STATE OF MISSOURI | |
| 19A12875 | IL | STATE OF ILLINOIS |
Post Comment/ Review Below
What is the Virgil A Beadle's unique identification number?
The Virgil A Beadle has been assigned the NPI (National Provider Identifier) Number 1609943091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Virgil A Beadle's facilities are geographically located?
The facilities of Virgil A Beadle are physically situated at the following location: #4 Crown Lane, Carbondale, IL, 629037604.
What is the Virgil A Beadle's area of specialization and corresponding taxonomy classification?
The Virgil A Beadle's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Virgil A Beadle receive its 1609943091 assignment from the Centers for Medicare & Medicaid Services?
The Virgil A Beadle was assigned its 1609943091 by the Centers for Medicare & Medicaid Services on 2006-11-29.
When was the information related to Virgil A Beadle most recently updated or refreshed?
The details pertaining to the Virgil A Beadle, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.