Ronald Phillip Beasley Jr., DMD
Individual provider Active NPI General Practice Dentistry · Birmingham, AL
NPI 1275740714 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275740714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4998 (AL)
- Practice address
- 1841 Montclaire LN
Suite 101
Birmingham, AL 35216-1864 - Phone
- (205) 823-1473
- Fax
- (205) 823-1473
- NPI assigned
- May 16, 2007
- 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 |
|---|---|---|---|
| 4998 | AL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4998 | AL | Yes |
Addresses
Primary practice location
1841 Montclaire LN
Suite 101
Birmingham, AL 35216-1864
Mailing address
1841 Montclaire LN
Suite 101
Birmingham, AL 35216-1864
Phone (205) 936-2595
Other providers in Birmingham, AL
- Calli R Beasley
- Catherine Beasley
- Joan E Beasley
- Katherine Elizabeth Beasley
- Nathan Howard Beasley
- Hilary Fae Hornbuckle Beason
- Katie Beaton
- Natalie Lane Walthall Beatty
- Sarah Beatty
- Malinda Beaty
All providers in Birmingham, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.