Most Relevant Information
Provider Data
| NPI Number: | 1003398850 |
| Provider Name: | BAILEY MOORHEAD BEARDSLEY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DS041939 |
Most Important Dates
| Enumeration Date: | 08/29/2018 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
USA MEDDAC
11050 MOUNT BELVEDERE BLVD
FORT DRUM
NY
13602
Practice Location Phone/Fax
| Phone: | 3157728891 |
| Fax: |
Provider Mailing Location
USA MEDDAC
11050 MOUNT BELVEDERE BLVD
APO
AA
13602
Provider Mailing Phone/Fax
| Phone: | 3157728891 |
| Fax: |