Calysta C. Beatty, DDS

Dentist · Tulsa, OK

Individual Active NPI

NPI number 1720237589

Practice location

1334 N Lansing Ave
Tulsa, OK 74106
Phone
(918) 587-2171
Fax
(918) 295-6106

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NPI record

NPI
1720237589
Entity type
Individual (Type 1)
Enumeration date
September 16, 2008
Last updated
September 27, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019028500 IL
Dentist 122300000X 0401412295 VA

Mailing address

1200 W State St
Rockford, IL 61102-2112
Phone
(815) 490-1600
Fax
(815) 490-1881

Other practice locations (1)

  • 1200 W State St, Rockford, IL 61102-2112 · (815) 490-1600

About Dr. Beatty

Calysta C. Beatty, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1334 N Lansing Ave, Tulsa, OK 74106. The NPI number 1720237589 was assigned on September 16, 2008 and the record was last updated on September 27, 2018.

Dr. Beatty lists 2 licenses in the registry: #019028500 (IL) for Dentist; #0401412295 (VA) 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 Calysta C. Beatty, DDS?

The NPI number is 1720237589.

What is the phone number of Dr. Beatty?

The phone number listed for the practice location is (918) 587-2171.

Where is Dr. Beatty located?

1334 N Lansing Ave, Tulsa, OK 74106.

What is the taxonomy code for Dr. Beatty?

The primary taxonomy code is 122300000X – Dentist; 1 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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