SearchIllinois1223G0001X

John Beatty, D.D.S

NPI 1336368885 · on the registry since 2007 · sole proprietor

Practice

Address
2717 N Center St
Maryville, IL 62062
Phone
(618) 288-0088
Fax
(618) 288-3691

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois