John C Beaty Dds, Family Dentistry
NPI #1881612240 in Merritt Island, Florida
Provider Information
- NPI Number
- 1881612240
- Entity Type
- Organization
- Organization Name
- John C Beaty Dds, Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 113 N BANANA RIVER DR
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-2546
- Phone
- (321) 452-8334
Authorized Official
- Name
- JOHN C BEATY, DDS
- Title
- PRESIDENT
- Phone
- (321) 452-8334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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