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COURTNEY L BEUSSINK DDS LLC NPI 1497172290


NPI Information

NPI: 1497172290
Provider Name: COURTNEY L BEUSSINK DDS LLC

Doing Business As: FIRST STREET SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
103 N FIRST ST
MARBLE HILL, MO
ZIP 63764
Phone: (573) 238-3330
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COURTNEY L BEUSSINK DDS LLC is a general practice dentist in Marble Hill, MO. The provider is 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. COURTNEY L BEUSSINK DDS LLC NPI is 1497172290. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As First Street Smiles.

The provider's business location address is:

103 N FIRST ST
MARBLE HILL, MO
ZIP 63764
Phone: (573) 238-3330
Fax: (573) 238-3464

The provider's authorized official is Courtney L Beussink .
The authorized official title is Dentist/owner and has the following contact phone number (573) 238-3330.

The enumeration date for this NPI number is 3/19/2014 and was last updated on 3/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2010016160MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861580532OTHERNPI
21023338860OTHERMISSOURINPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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