Painter, Rex Beasom

Painter, Rex Beasom is an sole proprietor health care provider with primary practice located at 10 Dolphin Dr , St Augustine FL 32080-4531. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Painter, Rex Beasom can be contacted via phone (904) 824-8652.

Contact Information

Primary practice address
10 Dolphin Dr St Augustine FL 32080-4531
Phone: (904) 824-8652
Fax: (904) 824-9169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN0013507 Florida

Profile Details

NPI number 1720284698
LBN Legal business name Painter, Rex Beasom
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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