Healthcare Provider Details

I. General information

NPI: 1760458798
Provider Name (Legal Business Name): FRANCES ELIZABETH BEY D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 12/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 DR CARTER BLVD
BUNNELL FL
32110-6212
US

IV. Provider business mailing address

PO BOX 847 301 DR CARTER BLVD
BUNNELL FL
32110-6212
US

V. Phone/Fax

Practice location:
  • Phone: 386-437-7350
  • Fax: 386-437-8207
Mailing address:
  • Phone: 386-437-7350
  • Fax: 386-437-8207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDN16666
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: