CHARLES THEODORE BEARD DDS NPI 1558338087

NPI Information

NPI: 1558338087
Provider Name: CHARLES THEODORE BEARD, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 1456 FULTON ST
BEDFORD STUYVESANT FAMILY HEALTH CENTER
BROOKLYN, NY
ZIP 11216
Phone: (718) 636-4500

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NPI Details

Charles Theodore Beard, DDS is a general practice dentist in Brooklyn, NY. 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. Charles Theodore Beard, DDS NPI is 1558338087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1456 FULTON ST
BEDFORD STUYVESANT FAMILY HEALTH CENTER
BROOKLYN, NY
ZIP 11216-505
Phone: (718) 636-4500
Fax: (347) 296-8363

The enumeration date for this NPI number is 3/3/2006 and was last updated on 5/4/2016.

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
1	1223G0001X	Dentist	General Practice	043006	NEW YORK	Yes

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
1	01485652	MEDICAID	NEW YORK

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: 11/21/2025

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