| Randal Begley, | |
|
53 Doctors Park, Cape Girardeau, MO 63703-4927 | |
| (573) 335-0300 | |
| Not Available |
| Full Name | Randal Begley |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 53 Doctors Park, Cape Girardeau, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023049285 | NPI | - | NPPES |
| 408006518 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 015302 (Missouri) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 2001004435 (Missouri) | Secondary |
| Entity Name | The Center For Oral And Maxillofacial Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053446328 PECOS PAC ID: 1153483086 Enrollment ID: O20081230000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Randal Begley, 53 Doctors Park, Ste 1, Cape Girardeau, MO 63703-4906 Ph: () - | Randal Begley, 53 Doctors Park, Cape Girardeau, MO 63703-4927 Ph: (573) 335-0300 |
Dr. Ashley Wiest Mills, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Ross A Bennett Dds Pc Bennett Family Dentistry, 989 N. Mount Auburn Rd., Cape Girardeau, MO 63701 Phone: 573-334-8013 Fax: 573-334-4101 | |
Dr. Dominique Glennon Harter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646 | |
Charlene L Minton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 S Broadview St, Cape Girardeau, MO 63703 Phone: 573-332-0808 Fax: 573-339-7945 | |
Philip Junho Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3070 William St, Cape Girardeau, MO 63703 Phone: 573-290-3111 | |
Dr. John Michael Freeze, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646 Fax: 573-335-3340 | |
Dr. Richard J Swartz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1367 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-334-3131 Fax: 573-334-4275 |