Stacie D Beasley, DDS
NPI #1235410028 in Springfield, Illinois
Provider Information
- NPI Number
- 1235410028
- Entity Type
- Individual
- Name
- Stacie D Beasley, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 7, 2011
- Last Updated
- Sep 7, 2011
Practice Location
- Address
- 2965 S MACARTHUR BLVD STE A
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-5087
- Phone
- (217) 698-1717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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