| Dr Douglas L Beaudry, DDS, PS | |
|
204 12th Ave Sw, Ephrata, WA 98823-2197 | |
| (509) 754-3262 | |
| (509) 754-3262 |
| Full Name | Dr Douglas L Beaudry |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 204 12th Ave Sw, Ephrata, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922166578 | NPI | - | NPPES |
| 4598 | Other | WA | STATE DENTAL LICENSE # |
| 5543103 | Medicaid | WA | |
| 05431 | Other | WA | WDS LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00004598 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas L Beaudry, DDS, PS 204 12th Ave Sw, Ephrata, WA 98823-2197 Ph: (509) 754-3262 | Dr Douglas L Beaudry, DDS, PS 204 12th Ave Sw, Ephrata, WA 98823-2197 Ph: (509) 754-3262 |
Dr. Brian James Jacobsen, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 1st Ave Sw, Ephrata, WA 98823 Phone: 509-754-3262 | |
Dr. Gale Charles Campbell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 1st Ave Sw, Ephrata, WA 98823 Phone: 509-754-5236 Fax: 509-754-3248 | |
Dr. Avery E. Harrison, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 C St Sw, Ephrata, WA 98823 Phone: 509-754-4226 Fax: 509-754-4248 |