National Provider Identifier
Chad Laurent Beatty, DMD.MD
Chad Laurent Beatty, DMD.MD is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Tonawanda, NY and a listed phone number of (716) 694-1134.
Profile Overview
- NPI
- 1720182124
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- September 07, 2006
- Last Updated
- July 08, 2007
Practice Location
- 555 Delaware St
- Tonawanda, NY 14150-5358
Phone: (716) 694-1134
Mailing Address
- 8190 Oakleaf Lane
- Williamsville, NY 14221
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1720182124
- Entity Type
- Individual
- Last Name
- Beatty
- First Name
- Chad
- Middle Name
- Laurent
- Name Prefix
- Dr.
- Credential
- DMD.MD
- Mailing Street Address
- 8190 Oakleaf Lane
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 636-1530
- Practice Street Address
- 555 Delaware St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-5358
- Practice Country
- US
- Practice Phone
- (716) 694-1134
- Practice Fax
- (716) 694-0665
- Enumeration Date
- September 07, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
- Other Identifiers
- 000527196004 (NY, Bc/Bs Community Blue), 00026001505 (NY, Univera), 02364661 (NY)