Provider Demographics
NPI:1407094618
Name:ROBERT F. BEYER III, DDS, PLLC
Entity Type:Organization
Organization Name:ROBERT F. BEYER III, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-770-5000
Mailing Address - Street 1:125B S BLOOMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-9493
Mailing Address - Country:US
Mailing Address - Phone:479-770-5000
Mailing Address - Fax:479-770-5004
Practice Address - Street 1:125B S BLOOMINGTON ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-9493
Practice Address - Country:US
Practice Address - Phone:479-770-5000
Practice Address - Fax:479-770-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental