Beville, Robert Nelson

Beville, Robert Nelson is an individual health care provider with primary practice located at 4200 Bryant Irvin Rd Ste 129 , Benbrook TX 76109-4212. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Beville, Robert Nelson can be contacted via phone (817) 569-6633.

Contact Information

Primary practice address
4200 Bryant Irvin Rd Ste 129 Benbrook TX 76109-4212
Phone: (817) 569-6633
Fax: (817) 569-6636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 23986 Texas

Profile Details

NPI number 1215199955
LBN Legal business name Beville, Robert Nelson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Oct 16th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215199955 NPPES
Texas MEDICAID 193876301

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