COURTNEY L BEUSSINK DDS LLC (NPI# 1497172290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497172290 |
| Entity Type | Organization |
| Organization Name | COURTNEY L BEUSSINK DDS LLC |
| Other Organization Name | FIRST STREET SMILES |
| Practice Address |
103 N First St Marble Hill MO 63764 |
| Mailing Address |
Po Box 650 Marble Hill MO 63764-0650 |
| Practice Telephone | 5732383330 |
| Practice Fax Number | 5732383464 |
| Mailing Telephone | 5732383330 |
| Mailing Fax Number | 5732383464 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | DR. COURTNEY L BEUSSINK (DENTIST/OWNER) |
| Authorized Official Telephone | 5732383330 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2010016160 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1861580532 | 01 | |
| MO | NPI | 1023338860 | 01 |
| Other Name | Type Code |
|---|---|
| First STreet Smiles | Doing Business As Name - Organization |
| Street Address |
103 N FIRST ST |
| City | MARBLE HILL |
| State | MO |
| Zip Code | 63764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201935 | J & J Assisted Living LLC | Assisted Living Facility | 104 Wesbecher Ln, Marble Hill, MO 63764 | 2020-10-02 |
| 1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
| 1467950196 | Ronald Brand | Counselor | 103 El Nathan Drive, Marble Hill, MO 63764 | 2018-01-29 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1699293274 | Alyssa Naschell Grado | Physical Therapist | 702-mo 34, Marble Hill, MO 63764 | 2017-09-05 |
| 1063969699 | Julie Elfrink | Registered Nurse | 107 N. Hwy 51, Marble Hill, MO 63764 | 2016-09-01 |
| 1194022921 | Suzanne Raye Matthews | Nurse Practitioner | 307 Broadway, Marble Hill, MO 63764 | 2011-02-14 |
| 1619281789 | Ryan Michael Sutterer | Optometrist | 503 W. Main Street, Marble Hill, MO 63764 | 2010-08-01 |
| 1215267976 | L. Mark Milde | Dentist | 101 First St., Marble Hill, MO 63764 | 2009-12-31 |
| 1194985739 | J & J Assistive Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 Wesbecher, Marble, MO 63764 | 2008-06-16 |
| Find all providers in zip 63764 | ||||
| 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 |
|---|---|---|---|---|
| 1215267976 | L. Mark Milde | Dentist | 101 First St., Marble Hill, MO 63764 | 2009-12-31 |
| 1861580532 | L Mark Milde Dds PC | Dentist | 101 First St, Marble Hill, MO 63764 | 2006-10-10 |
| 1023338860 | Courtney Leigh Beussink | Dentist | 103 N 1st St, Marble Hill, MO 63764 | 2010-06-03 |
| 1205951167 | David Wells | Dentist | 25 Foothills Pkwy, Suite 101, Marble Hill, GA 30148-2261 | 2007-03-20 |
| 1952464372 | Patricia Merkley | Dentist | 109 Hwy 51 North, Marble Hill, MO 63764 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | MARBLE HILL |
| Zip Code | 63764 |
Please comment or provide details below to improve the information on COURTNEY L BEUSSINK DDS LLC.
| 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.