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Contact Information

ROBERT T BEASLEY, DMD
125 28TH ST NE STE 1
OWATONNA, MN55060-2560
 Phone: 507-242-1441
 Fax: 507-242-1445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ROBERT T BEASLEY · (Male)

NPI # 1366679953
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/22/2009
Last updated 09/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D13049
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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