Charles E Beall DDS, LTD

Primary specialty

DentistTaxonomy code 122300000X

License

DS015852L Issued in PA

Legal business name

CHARLES E BEALL DDS, LTD

Practice address

2213 Shenango Valley Fwy
Hermitage, PA 16148-2544

Phone

(724) 981-1050

Fax

(724) 981-6259

NPI assigned

Aug 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles E Beall, DDS

Title

President/Owner

Phone

(724) 981-1050

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780692558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482544",
            "telephone_number": "724-981-1050",
            "fax_number": "724-981-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482544",
            "telephone_number": "724-981-1050",
            "fax_number": "724-981-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E BEALL DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-981-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS015852L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.