Individual provider · Type 1 NPI

Ralf Beilhardt, DDS

General Practice Dentistry · Fort Drum, NY

NPI number 1104829761 Active

Practice location

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503

Mailing address

Dental Health Activity, 10590 Enduring Freedom Drive
Fort Drum, NY 13602

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2010040599 (MO)
Dentist 122300000X3240 (AR)
General Practice Dentistry Primary 1223G0001X3240 (AR)

General Practice Dentistry: 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.

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About NPI 1104829761

Ralf Beilhardt, DDS's National Provider Identifier is 1104829761, issued on May 27, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 16, 2024.