Provider Demographics
NPI:1093790735
Name:BEYER, ANDREW STEPHEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:STEPHEN
Last Name:BEYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 NICHOLS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1511
Mailing Address - Country:US
Mailing Address - Phone:816-753-1788
Mailing Address - Fax:816-753-2174
Practice Address - Street 1:315 NICHOLS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1511
Practice Address - Country:US
Practice Address - Phone:816-753-1788
Practice Address - Fax:816-753-2174
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO256951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice