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Robert Beadle, DS

Dentist, General Practice in Phila, PA. Individual provider (NPI-1).

NPI number1154475853
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154475853
Entity type
Individual (NPI-1)
Name
Robert Beadle
Credential
DS
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDS025989LPAYes

Practice location

626 Snyder Ave
Phila, PA 19148-2419

Phone 215-334-4900 · Fax 215-334-9721

Mailing address

432 N 6th St
Phila, PA 19123-4004

Phone 215-925-2400 · Fax 215-925-4201

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