MEDICARE: DR. WILLIAM MICHAEL BEEGAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	18953	OH

General Provider Information

NPI Number	:	1225100407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MICHAEL BEEGAN D.D.S.

Provider Business Mailing Address
First Line	:	28496 LYNHAVEN DR
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-4127
Country	:	US
Telephone Number	:	440-716-9656
Fax Number	:

Provider Business Practice Location Address
First Line	:	4597 RIDGE RD
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-3350
Country	:	US
Telephone Number	:	216-398-7285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/08/2007

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