Beverly, David T

Beverly, David T is an sole proprietor health care provider with primary practice located at 82 Beal Pkwy Sw , Fort Walton Beach FL 32548-5331. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Beverly, David T can be contacted via phone (850) 862-6666.

Contact Information

Primary practice address
82 Beal Pkwy Sw Fort Walton Beach FL 32548-5331
Fax: (850) 862-7707
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6726 Florida

Profile Details

NPI number 1376870154
LBN Legal business name Beverly, David T
Credentials D.M.D, M.S.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2009
Last updated Nov 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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