Pierre Charles Beaudet, DDS
Individual provider Active NPI Dentist · Berkley, MI
NPI 1891708103 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891708103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901012178 (MI)
- Practice address
- 1130 Catalpa
Berkley, MI 48072 - Phone
- (248) 546-2030
- Fax
- (248) 546-8165
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2901012178 | MI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901012178 | MI | Yes |
Addresses
Primary practice location
1130 Catalpa
Berkley, MI 48072
Mailing address
1130 Catalpa
Berkley, MI 48072
Phone (248) 546-2030
Other providers in Berkley, MI
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.