John M. Beatty in Maryville - General Practice
John M. Beatty - NPI 1336368885
John M. Beatty is a General Practice in Maryville, Illinois. John M. Beatty practices all healthcare services and medical treatments related to General Practice. The NPI Number for John M. Beatty is 1336368885. The last update date is 2007-07-08.
John M. Beatty's current location address is 2717 N Center St, Maryville, Illinois. You can contact this provider via phone number 6182880088 and fax number 6182883691. The mailing address for John M. Beatty is 2717 N Center St, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M. Beatty |
|---|---|
| Address | 2717 N Center St, Maryville, Illinois |
| Phone Number | 6182880088 |
| Fax Number | 6182883691 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336368885 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2717 N Center St |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620625623 |
| Phone Number | 6182880088 |
| Fax Number | 6182883691 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | A12662 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A12662 | IL | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to John M. Beatty by the Centers for Medicare & Medicaid Services (CMS)?
The John M. Beatty has been assigned the NPI (National Provider Identifier) 1336368885. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where John M. Beatty is geographically located?
The John M. Beatty is physically situated at the following location: 2717 N Center St, Maryville, IL, 620625623.
What is John M. Beatty's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John M. Beatty is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the John M. Beatty receive its 1336368885 assignment from the Centers for Medicare & Medicaid Services?
The John M. Beatty was assigned its 1336368885 by the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date was the information regarding John M. Beatty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John M. Beatty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY