BAILEY MOORHEAD BEARDSLEY DMD
NPI 1003398850
Dentist - Oral and Maxillofacial Surgery in Fort Drum, NY

Q: What is Bailey Moorhead Beardsley's NPI number?

The NPI number for Bailey Moorhead Beardsley is 1003398850. It was assigned to this individual provider in the NPPES registry on August 29, 2018. The provider is also known as Bailey Moorhead.

Q: What is Bailey Moorhead Beardsley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since August 29, 2018

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-8891 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Aug 29, 2018 (2 updates tracked since 2018).

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About Bailey Moorhead Beardsley Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAILEY MOORHEAD BEARDSLEY DMD (NPI 1003398850) is an individual oral and maxillofacial surgery provider in Fort Drum, New York, licensed in Pennsylvania (DS041939) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1003398850

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameBAILEY MOORHEAD BEARDSLEYCredential: DMD

Location AddressUSA MEDDAC, 11050 MOUNT BELVEDERE BLVDFort Drum, NY 13602

Mailing AddressUsa Meddac, 11050 Mount Belvedere BlvdApo, AA 13602 · (315) 772-8891

Phone(315) 772-8891

Sole ProprietorNo

Enumeration DateAugust 29, 2018

Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1003398850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in PA · DS041939

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License DS041939 (PA)

USA MEDDAC, Fort Drum, NY 13602

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Other Names 1

Former Name (1)Bailey Moorhead

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFREY MORGAN COX LICSW

Social Worker

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FT DRUM, NY 13602

Jefferson County (315) 921-9000

MR. KENNETH HERBERT THOMAS JR. CASAC, LPC

Counselor (Addiction (Substance Use Disorder))

USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-8801

PANITA PIPATNAWIN FNP-C

Nurse Practitioner (Family)

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 774-5356

JAMES KIM M.D.

Internal Medicine

USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-2964

DR. BRIDGET MATSAS MD

Emergency Medicine

USA MEDDAC, 11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602

Jefferson County (315) 772-0215

JUSTIN DAVID RADO PHYSICIAN ASSISTANT

Physician Assistant

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-6214

ANGELA MATTHEWS LCSW

Social Worker

USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 774-0770

VANIA MA MD

General Practice

USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-7059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bailey Moorhead Beardsley's NPI number?

The NPI number for Bailey Moorhead Beardsley is 1003398850. It was assigned to this individual provider in the NPPES registry on August 29, 2018. The provider is also known as Bailey Moorhead.

Where is Bailey Moorhead Beardsley located?

Bailey Moorhead Beardsley practices at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-8891.

What is Bailey Moorhead Beardsley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Bailey Moorhead Beardsley was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.