Ralf Beilhardt, DDS

General Practice Dentistry · Fort Drum, NY

Individual Active NPI

NPI number 1104829761

Practice location

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503
Phone
(315) 772-4342

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NPI record

NPI
1104829761
Entity type
Individual (Type 1)
Enumeration date
May 27, 2005
Last updated
July 16, 2024
Certified
July 11, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3240 AR
Dentist 122300000X 2010040599 MO
Dentist 122300000X 3240 AR

Mailing address

Dental Health Activity
10590 Enduring Freedom Drive
Fort Drum, NY 13602
Phone
(315) 772-4342

About Dr. Beilhardt

Ralf Beilhardt, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503. The NPI number 1104829761 was assigned on May 27, 2005 and the record was last updated on July 16, 2024.

Dr. Beilhardt lists 3 licenses in the registry: #3240 (AR) for General Practice Dentistry; #2010040599 (MO) for Dentist; #3240 (AR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ralf Beilhardt, DDS?

The NPI number is 1104829761.

What is the phone number of Dr. Beilhardt?

The phone number listed for the practice location is (315) 772-4342.

Where is Dr. Beilhardt located?

10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503.

What is the taxonomy code for Dr. Beilhardt?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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