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John M. Beatty, DDS
General Practice Dentistry in Maryville, Illinois
NPI 1336368885

John M. Beatty is a General Practice Dentistry based in Maryville, IL and is specialized in General Practice. John M. Beatty practices in Maryville, IL and has the professional credentials of DDS. The NPI Number for John M. Beatty is 1336368885 and holds a License No. A12662 (Illinois).

The current practice location address for John M. Beatty is 2717 N Center St, Maryville, IL and can be reached out via phone at 618-288-0088 and via fax at 618-288-3691.

Location: 2717 N Center St, Maryville, IL, 62062-5623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336368885
Provider Name
John M. Beatty
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2717 N Center St, Maryville, IL, 62062-5623
Phone Number
618-288-0088
Fax Number
618-288-3691
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A12662 01 IL DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2717 N Center St
City
Maryville
State
Illinois
Zip
62062-5623
Phone Number
618-288-0088
Fax Number
618-288-3691
person
Provider Business Mailing Address Details
Address
2717 N Center St
City
Maryville
State
Illinois
Zip
62062-5623
Phone Number
618-288-0088
Fax Number
618-288-3691
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
A12662 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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