John C Beaty, DDS
NPI #1912928292 in Merritt Island, Florida
Provider Information
- NPI Number
- 1912928292
- Entity Type
- Individual
- Name
- John C Beaty, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 113 N BANANA RIVER DR
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-2546
- Phone
- (321) 452-8334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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