Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Virgil A Beadle, DDX

Individual provider Dentist · NPI 1609943091

Dr. Virgil A Beadle, DDX is a Dentist in Carbondale, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

#4 Crown Ln
Carbondale, IL 62903-7604
Phone: (618) 457-4137
Fax: (618) 351-1081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 19A12875 (IL)
Dentist Taxonomy 122300000X · Licence 010711 (MO)

Record details

NPI number1609943091
Entity typeIndividual (Type 1)
GenderMale
Credentials DDX
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007

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