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Dr. Chad Laurent Beatty, DMDMD
Oral and Maxillofacial Surgery (Dentist) in Tonawanda, New York
NPI 1720182124

Chad Laurent Beatty is a Oral and Maxillofacial Surgery (Dentist) based in Williamsville, NY and is specialized in Oral and Maxillofacial Surgery. Chad Laurent Beatty practices in Tonawanda, NY and has the professional credentials of DMDMD. The NPI Number for Chad Laurent Beatty is 1720182124 and holds a License No. 050022 (New York).

The current practice location address for Chad Laurent Beatty is 555 Delaware St, Tonawanda, NY and can be reached out via phone at 716-694-1134 and via fax at 716-694-0665.

Location: 555 Delaware St, Tonawanda, NY, 14221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720182124
Provider Name
Chad Laurent Beatty
Credential
DMDMD
Provider Entity Type
Individual
Gender
Male
Address
555 Delaware St, Tonawanda, NY, 14221
Phone Number
716-694-1134
Fax Number
716-694-0665
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000527196004 01 NY BC/BS COMMUNITY BLUE
00026001505 01 NY UNIVERA
02364661 05 NY
institution
Provider Business Practice Location Address Details
Address
555 Delaware St
City
Tonawanda
State
New York
Zip
14150-5358
Phone Number
716-694-1134
Fax Number
716-694-0665
person
Provider Business Mailing Address Details
Address
555 Delaware St
City
Tonawanda
State
New York
Zip
14150-5358
Phone Number
716-694-1134
Fax Number
716-694-0665
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
050022 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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