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DR. PHILIP GAITHER BEARDSLEE DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1326260621

Individual Registrant:
DR. PHILIP GAITHER BEARDSLEE DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
608 S NORDIC  PETERSBURG, AK 99833 US
Tel: 907-772-9246  Fax: 907-772-9278

Contact information for business:
PO BOX 469  PETERSBURG, AK 99833-0469 US
Tel: 907-772-9246  Fax: 907-772-9278

Registration Information:
NPI: 1326260621
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AK346

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DD0346AK05




HEALTH CARE JOBS AK - Page 1



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