| Michael W Beasley Dds Pc | |
|
6475 Wall St Ste 202 Colorado Springs CO 80918-8341 | |
| (719) 216-2054 | |
| Not Available |
| Full Name | Michael W Beasley Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6475 Wall St Ste 202, Colorado Springs, Colorado |
| Authorized Official Name and Position | Vicki Lee Beasley (OPERATION MANAGER) |
| Authorized Official Contact | 7192162054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Beasley Dds Pc 6475 Wall St Ste 202 Colorado Springs CO 80918-8341 Ph: (719) 216-2054 | Michael W Beasley Dds Pc 6475 Wall St Ste 202 Colorado Springs CO 80918-8341 Ph: (719) 216-2054 |
| NPI Number | 1144661273 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144661273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6670 (Colorado) | Primary |
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