Type 1 individualNPI 1003398850
BAILEY MOORHEAD BEARDSLEY DMD
1223S0112X · FORT DRUM, NY
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 1223S0112X | 1223S0112X | Primary |
| 122300000X | 122300000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s