DR. JEFFREY L BEATTIE DMD NPI 1811986243

NPI Information

NPI: 1811986243
Provider Name: DR. JEFFREY L BEATTIE, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1573 W FAIRBANKS AVE
SUITE 300
WINTER PARK, FL
ZIP 32789
Phone: (407) 644-0224
Get Directions

DR. Jeffrey L Beattie, DMD is an oral and maxillofacial surgery dentist in Winter Park, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jeffrey L Beattie, DMD NPI is 1811986243. 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:

1573 W FAIRBANKS AVE
SUITE 300
WINTER PARK, FL
ZIP 32789-679
Phone: (407) 644-0224
Fax: (407) 644-2827

The enumeration date for this NPI number is 10/18/2005 and was last updated on 1/13/2010.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DN11558	FLORIDA	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	U33512	MEDICARE UPIN	FLORIDA
2	69148Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	WINTER PARK OFFICE
3	190007446	OTHER	FLORIDA	RAILROAD MCARE ORL OFC
4	06818	OTHER	FLORIDA	WELLCARE WINTER PARK OFC
5	850000180	OTHER	FLORIDA	RAILROAD MCARE LW OFC
6	190007440	OTHER	FLORIDA	RAILROAD MCARE WP OFC
7	69148Y	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	LONGWOOD OFFICE
8	224944	OTHER	FLORIDA	WELLCARE LONGWOOD OFC
9	224946	OTHER	FLORIDA	WELLCARE ORLANDO OFC
10	BCBS MEDICAL	OTHER	FLORIDA	69148
11	69148X	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	ORLANDO OFFICE

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: 4/28/2024

NPI Synchronization or Removal

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