Dudley C. Beaty III
Dentist - General Practice
225 Broad St
Bennettsville
, South Carolina 29512-4003
Dudley C. Beaty III
Dentist - General Practice
225 Broad St
Bennettsville
, South Carolina 29512-4003
(843) 479-0305
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dudley C. Beaty III
- 225 Broad St
- Bennettsville, SC
- Zip : 29512-4003
- Phone : (843) 479-0305
Second Address
- Dudley C. Beaty III
- 225 Broad St
- Bennettsville, SC
- Zip : 29512-4003
- Phone : (843) 479-0305
Reviews
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Is Dudley C. Beaty III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 2906 | SC |
| Y | 213EG0000X | General Practice | 2906 | SC |
National Provider Identifier
| NPI | 1003894478 |
|---|---|
| Provider Name | Dudley C. Beaty III |
| First Address | Bennettsville, SC 29512-4003 |
| Second Address | Bennettsville, SC 29512-4003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2906 | DELTA DENTAL PROVIDER # (01) | SC |
| Z29062 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.