Individual provider · NPI-1

Ryan T Beelman, D.M.D.

Dentist · Bedford, TX

NPI number1760896658
StatusActive
Last updated in NPPESJan 31, 2018

Details

NPI
1760896658
Entity type
Individual (NPI-1)
Name
Ryan T Beelman
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2014
Last updated
Jan 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist31714TXYes
1223G0001X Dentist, General Practice2014018885MO

Practice location

308 Harwood Rd
Bedford, TX 76021-4148

Phone 817-282-1241 · Fax 817-282-2087

Mailing address

308 Harwood Rd
Bedford, TX 76021-4148

Phone 817-282-1241 · Fax 817-282-2087

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