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Dr. Douglas L. Beaudry, DDS,PS
General Practice Dentistry in Ephrata, Washington
NPI 1922166578

Douglas L. Beaudry is a General Practice Dentistry based in Ephrata, WA and is specialized in General Practice. Douglas L. Beaudry practices in Ephrata, WA and has the professional credentials of DDS,PS. The NPI Number for Douglas L. Beaudry is 1922166578 and holds a License No. DE00004598 (Washington).

The current practice location address for Douglas L. Beaudry is 204 12Th Ave Sw, Ephrata, WA and can be reached out via phone at 509-754-3262 and via fax at 509-754-3262.

Location: 204 12Th Ave Sw, Ephrata, WA, 98823-2197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922166578
Provider Name
Douglas L. Beaudry
Credential
DDS,PS
Provider Entity Type
Individual
Gender
Male
Address
204 12Th Ave Sw, Ephrata, WA, 98823-2197
Phone Number
509-754-3262
Fax Number
509-754-3262
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4598 01 WA STATE DENTAL LICENSE #
5543103 05 WA
05431 01 WA WDS LICENSE #
institution
Provider Business Practice Location Address Details
Address
204 12Th Ave Sw
City
Ephrata
State
Washington
Zip
98823-2197
Phone Number
509-754-3262
Fax Number
509-754-3262
person
Provider Business Mailing Address Details
Address
204 12Th Ave Sw
City
Ephrata
State
Washington
Zip
98823-2197
Phone Number
509-754-3262
Fax Number
509-754-3262
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00004598 (Washington)
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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