Provider Demographics
NPI:1477788081
Name:BEERS, CHAD LELAND (DDS)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:LELAND
Last Name:BEERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 LONE PINE DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7488
Mailing Address - Country:US
Mailing Address - Phone:231-941-0200
Mailing Address - Fax:231-941-0201
Practice Address - Street 1:4041 LONE PINE DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7488
Practice Address - Country:US
Practice Address - Phone:231-941-0200
Practice Address - Fax:231-941-0201
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019982122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist