| Dr Virgil A Beadle, DDX | |
|
#4 Crown Lane, Carbondale, IL 62903-7604 | |
| (618) 457-4137 | |
| (618) 351-1081 |
| Full Name | Dr Virgil A Beadle |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | #4 Crown Lane, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609943091 | NPI | - | NPPES |
| 010711 | Other | MO | STATE OF MISSOURI |
| 19A12875 | Other | IL | STATE OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19A12875 (Illinois) | Primary |
| 122300000X | Dentist | 010711 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Virgil A Beadle, DDX #4 Crown Lane, Carbondale, IL 62903-7604 Ph: (618) 457-4137 | Dr Virgil A Beadle, DDX #4 Crown Lane, Carbondale, IL 62903-7604 Ph: (618) 457-4137 |
Dr. Donald Charles Summerlin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1240 Cedar Ct, Carbondale, IL 62901 Phone: 618-549-7621 Fax: 618-549-8570 | |
Dr. Dwayne Gail Summers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1365 Douglas Dr, Carbondale, IL 62901 Phone: 618-453-2353 Fax: 618-453-7020 | |
Terry Powers, DMD Dentist Medicare: Medicare Enrolled Practice Location: 402 S. Lewis Lane, Carbondale, IL 62901 Phone: 618-519-9901 Fax: 618-519-9375 | |
Audrey Fields, DDS Dentist Medicare: Medicare Enrolled Practice Location: 402 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9375 | |
Dr. Mazhar M. Butt, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1001 N Beadle Dr, Carbondale, IL 62901 Phone: 618-457-2123 Fax: 618-351-1401 | |
Ralph Kimbrough, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 402 S. Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9901 Fax: 618-519-9375 | |
Dr. Laura Schall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 402 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9375 |