Provider Demographics
NPI:1063532570
Name:BEABER, WILLIAM D (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:D
Last Name:BEABER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6435 S FM 549 STE 200
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6224
Mailing Address - Country:US
Mailing Address - Phone:972-722-4376
Mailing Address - Fax:469-264-7148
Practice Address - Street 1:6435 S FM 549 STE 200
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75032-6224
Practice Address - Country:US
Practice Address - Phone:972-722-4376
Practice Address - Fax:469-338-5742
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO87271223X0400X
TX345631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics