Provider Demographics
NPI:1821119033
Name:ESTHER M BEEKS DDS PC
Entity Type:Organization
Organization Name:ESTHER M BEEKS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-567-0067
Mailing Address - Street 1:8420 DELMAR BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124
Mailing Address - Country:US
Mailing Address - Phone:314-567-0067
Mailing Address - Fax:314-567-3660
Practice Address - Street 1:8420 DELMAR BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124
Practice Address - Country:US
Practice Address - Phone:314-567-0067
Practice Address - Fax:314-567-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0151441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========Medicare UPIN