Individual provider · Type 1 NPI

Virgil A. Beadle, DDX

Dentist · Carbondale, IL

NPI number 1609943091 Active

Practice location

#4 Crown Lane
Carbondale, IL 62903-7604

Fax (618) 351-1081

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X19A12875 (IL)
Dentist 122300000X010711 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1609943091

Virgil A. Beadle, DDX's National Provider Identifier is 1609943091, issued on Nov 29, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Carbondale, IL. The record was last updated on Jul 8, 2007.