Healthcare Provider Details

I. General information

NPI: 1528264165
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL BEUS D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 BOOKCLIFF AVE UNIT 204
GRAND JUNCTION CO
81501-8159
US

IV. Provider business mailing address

670 CANYON CREEK DR
GRAND JUNCTION CO
81507-9594
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-9088
  • Fax:
Mailing address:
  • Phone: 801-510-4563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number00203319
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: