DR. WILLIE KEITH BEASLEY


Address: 6211 Centreville Rd, Ste 600, Centreville, VA 20121-2635
Phone: 7039618808

DR. WILLIE KEITH BEASLEY (NPI# 1356346266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356346266
Entity Type Individual
Full Name DR. WILLIE KEITH BEASLEY
Credential DDS
Practice Address 6211 Centreville Rd
Ste 600
Centreville
VA 20121-2635
Mailing Address 205 West St Nw
Vienna
VA 22180-4416
Practice Telephone 7039618808
Mailing Telephone 7032550054
Mailing Fax Number 7032550779
Enumeration Date 2005-06-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
7175 VA Dental Providers

Office Location

Street Address 6211 CENTREVILLE RD
STE 600
City CENTREVILLE
State VA
Zip Code 20121-2635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831375716 Fairfax Radiological Consultants PC Specialist 6211 Centreville Rd, Ste 400, Centreville, VA 20121-2641 2008-01-10
1104947894 Damita Edwards Dentist 6211 Centreville Rd, #600, Centreville, VA 20121 2007-04-02
1710088299 Lance Alan Lasner Internal Medicine 6211 Centreville Rd, Ste 500, Centreville, VA 20121 2006-09-26
1578669610 Gilda Loga Physician Assistant 6211 Centreville Rd, Suite 700, Centreville, VA 20121-2641 2006-09-16
1679547764 Thomas R Graziano Internal Medicine 6211 Centreville Rd, Suite 700, Centreville, VA 20121-2641 2006-02-15
1700850898 Frederick F Lennon Internal Medicine 6211 Centreville Rd, Suite 700, Centreville, VA 20121-2641 2006-02-15
1407820459 Scott I Bell Internal Medicine 6211 Centreville Rd, Suite 700, Centreville, VA 20121-2641 2006-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356906994 Everyone Inc. Durable Medical Equipment & Medical Supplies 6362 James Harris Way, Centreville, VA 20121 2019-05-09
1154845139 Dien Tu Pharmacist 6321 Powder Flask Ct., Centreville, VA 20121 2017-08-01
1053865337 Chungkang Pharmacy, LLC Pharmacy 14637 Lee Highway, #109b, Centreville, VA 20121 2016-08-04
1265829808 Trisha Yamamoto Chiropractor 14215 E. Centreville Square, Centreville, VA 20121 2015-04-21
1811305733 Catherine Elizabeth Sims, LLC Clinic/Center 6705 Bay Valley Lane, Centreville, VA 20121 2014-07-23
1194138438 All In A Day Senior Care Services.com Home Health 6913 Confederate Ridge Lane, Centerville, VA 20121 2014-06-04
1447519483 James Hamilton Occupational Therapy Assistant 6220 William Mosby Dr, Centreville, VA 20121 2012-05-11
1609158674 Rena Thuman Dentist 14245-f Centreville Square, Centreville, VA 20121 2011-09-15
1134426372 One Stop Pharmacy Inc Pharmacy 13818-b Braddock Rd, Centreville, VA 20121 2011-02-24
1225267495 Michael Andrew Hartman Family Medicine 6201 Centerville Rd, # 100, Centreville, VA 20121 2009-07-09
Find all providers in zip 20121

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710528096 Adriana C Cartaya Mollejas Dentist 6134 Redwood Square Ctr Ste 202, Centreville, VA 20121-2642 2019-10-08
1346725322 Margo Flores Dds Pllc Dentist 5703 Centre Square Drive, Centreville, VA 20120 2018-09-26
1528406907 Chad T Thorpe Dentist 664 E Main St Ste F, Centreville, MI 49032-8515 2013-06-07
1730448010 Neibauer Dental Care, PC Dentist 5742 Pickwick Rd Ste 15, Centreville, VA 20121-4730 2012-05-08
1497066229 Timothy Kim &thomas Kim, Dds, PC Dentist 5900 Fort Dr Ste 209, Centreville, VA 20121-2425 2010-06-25
1568785715 James Moshier Dentist 6134 Redwood Sq Ctr, Suite 202, Centreville, VA 20121-2642 2010-03-02
1356675581 Heather Hyeonmi Yoon Dentist 15054 Stillfield Pl, Centreville, VA 20120-1100 2009-09-21
1669705570 Rohini B Banavar Dentist 6635 Mountain Shadow Trl, Centreville, VA 20120-1082 2009-09-09
1861666109 Frinet Margarita Kasper Dentist 14631 Lee Hwy Ste 211, Centreville, VA 20121-5827 2008-04-17
1760684146 Cascades Dental of Centreville Dentist 6134 Redwood Square Center Suite 202, Centreville, VA 20121 2007-06-05
Find all providers in CENTREVILLE

Competitor

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City CENTREVILLE
Zip Code 20121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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