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General NPI Number Information
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NPI Number | 1013554294
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Entity Type | Individual
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Provider Name | CHRISTOPHER MCLEAN BETO DMD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1807 NICHOLASVILLE RD
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City | LEXINGTON
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State | KY
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Zip | 40503-1405
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Country | US
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Telephone | 859-278-8419
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Fax | 859-276-5422
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Provider Business Mailing Address
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Address Line | 3300 MONTAVESTA RD APT 3106
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City | LEXINGTON
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State | KY
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Zip | 40502-3664
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Country | US
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Telephone | 859-583-6310
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10372
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License Number State | KY
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