DR. PHILIP GAITHER BEARDSLEE (NPI# 1326260621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326260621 |
| Entity Type | Individual |
| Full Name | DR. PHILIP GAITHER BEARDSLEE |
| Credential | DMD |
| Practice Address |
608 S Nordic Petersburg AK 99833 |
| Mailing Address |
Po Box 469 Petersburg AK 99833-0469 |
| Practice Telephone | 9077729246 |
| Practice Fax Number | 9077729278 |
| Mailing Telephone | 9077729246 |
| Mailing Fax Number | 9077729278 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
346 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DD0346 | 05 |
| Street Address |
608 S NORDIC |
| City | PETERSBURG |
| State | AK |
| Zip Code | 99833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
| 1710518006 | Troy Carl Larson | Behavior Technician | 200 Fram Street, Petersburg, AK 99833 | 2020-01-27 |
| 1770128316 | Brenda Louise | Assisted Living Facility | 206 S 2nd, Petersburg, AK 99833 | 2019-11-07 |
| 1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
| 1932762499 | Mindy Lopez | Rehabilitation Counselor | 1016 Lake Street, Petersburg, AK 99833 | 2019-04-19 |
| 1760921753 | Patrick Sessa | Social Worker | 201 N Nordic Dr., Petersburg, AK 99833 | 2017-02-23 |
| 1992151294 | Bradee Ann Luhr | Physical Therapist | 244 Mitkof Highway, Petersburg, AK 99833 | 2016-05-05 |
| 1891158267 | Lina Kotsoeva | Counselor | 226 S Nordic Dr, Petersburg, AK 99833 | 2016-04-01 |
| 1447623137 | Pacific Wings, LLC | Air Carrier | 1500 Haugen Drive, Petersburg, AK 99833 | 2015-11-04 |
| 1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
| Find all providers in zip 99833 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973725 | Milan Bhagat, Dmd, Pllc | Dentist | 3277 S Crater Rd Ste B, Petersburg, VA 23805-9285 | 2017-10-16 |
| 1285936872 | Donald P. Hartman | Dentist | 213 N 5th, Petersburg, IL 62675-1303 | 2010-12-02 |
| 1952573297 | John W Lynn Dds Ltd | Dentist | 104 Morton Avenue, Petersburg, VA 23805 | 2008-03-27 |
| 1114143203 | David Arnold Spencer | Dentist | 806 S Nordic, Petersburg, AK 99833-0469 | 2007-04-17 |
| 1770607616 | James Keith Johnson | Dentist | 6204 Duncan Rd, Petersburg, VA 23803-7442 | 2007-03-17 |
| 1578621645 | Jeffrey G Kimble | Dentist | 211 Virginia Avenue, Petersburg, WV 26847 | 2006-12-04 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1801974621 | Charles Francis Griffin | Dentist | 3277 S Cratrer Rd, Petersburg, VA 23805 | 2006-11-01 |
| 1477648905 | Hugh Coleman Dowdy | Dentist | 700 S. Sycamore St, 17, Petersburg, VA 23803-5802 | 2006-10-03 |
| 1942319264 | Herbert Reed Boyd IIi | Dentist | 23 Goodrich Ave, Petersburg, VA 23805-2119 | 2006-08-30 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 99833 |
Please comment or provide details below to improve the information on DR. PHILIP GAITHER BEARDSLEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.