Lawrence Beall, DDS
Individual provider Active NPI General Practice Dentistry · Orcutt, CA
NPI 1063661932 · NPPES record last updated Aug 8, 2014
Key facts
- NPI
- 1063661932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DJ036061 (CA)
- Practice address
- 1103 E Clark Ave Ste a
Orcutt, CA 93455-5149 - Phone
- (805) 922-2426
- NPI assigned
- Sep 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DJ036061 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DJ036061 | CA | Yes |
Addresses
Primary practice location
1103 E Clark Ave Ste a
Orcutt, CA 93455-5149
Mailing address
1103 E Clark Ave Ste a
Orcutt, CA 93455-5149
Phone (805) 922-2426
Other providers in Orcutt, CA
- Advanced Behavioral Health Care of the Central Coast
- Maricela Alexandra Aguilera-Galvan
- Albertsons LLC
- Bendele Behavior Health
- Bendele Family Therapy, Inc
- Candace Curran Bendele
- Connor Bentley
- Michael I Callis
All providers in Orcutt, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.