Christopher Norman Beale, D.D.S.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Camp Lejeune, NC
NPI 1417155409 · NPPES record last updated Mar 31, 2016
Key facts
- NPI
- 1417155409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 9867 (NC)
- Practice address
- 315 McHugh Blvd
2D Denbn/NDC
Camp Lejeune, NC 28547-2511 - Phone
- (910) 451-2208
- Fax
- (910) 451-8036
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615002170 | NC | Order and Referring Only - Dentist |
9234420696 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019599 | MI | MD | Dentist |
| 9867 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Oral and Maxillofacial Surgery, Christopher N. Beale, DDS, LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Dynamic Dental Specialists, LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Dynamic Dental Specialists LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
630 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-0616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019599 | MI | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9867 | NC | Yes |
Addresses
Primary practice location
315 McHugh Blvd
2D Denbn/NDC
Camp Lejeune, NC 28547-2511
Mailing address
315 McHugh Blvd
2D Denbn/NDC
Camp Lejeune, NC 28547-2511
Phone (910) 451-2208
Other providers in Camp Lejeune, NC
- Bda Camp Lejeune
- BDC Camp Geiger
- BDC Courthouse Bay
- BDC Johnson
- BDC McAs Cherry Point
- Brian Houston Beasley
- Anthony Jerome Becker
- Alexis Armani Becks
- Jamie R Beever
- Kenneth B Begun
All providers in Camp Lejeune, NC · Oral and Maxillofacial Surgery (Dentist) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.