DUDLEY C. BEATY III DMD
NPI 1003894478
Dentist - General Practice in Bennettsville, SC
About Dudley C. Beaty Iii Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUDLEY C. BEATY III DMD (NPI 1003894478) is an individual general practice provider in Bennettsville, South Carolina, licensed in South Carolina (2906) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dudley C. Beaty Iii Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dudley Beaty's NPI number?
The NPI number for Dudley Beaty is 1003894478. It was assigned to this individual provider in the NPPES registry on January 5, 2006.
Where is Dudley Beaty located?
Dudley Beaty practices at 225 Broad St, Bennettsville, SC 29512. The listed phone number is (843) 479-0305.
What is Dudley Beaty's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Dudley Beaty enrolled in Medicare?
Yes. Dudley Beaty is registered in the Medicare PECOS enrollment system.
What insurance does Dudley Beaty accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Dudley Beaty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dudley Beaty was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dudley C. Beaty III, DMD · NPI 1003894478
General Practice provider in Bennettsville, South Carolina. Individual provider, active in the CMS NPPES registry since January 5, 2006.
## Identity
- **NPI:** 1003894478 (Entity type: Individual)
- **Enumerated:** January 5, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2906 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 BROAD ST, Bennettsville, SC 29512-4003
- **Phone:** (843) 479-0305
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Other 2906 (SC); Medicaid Z29062 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1003894478) · Data from the CMS NPPES public registry.