Provider Demographics
NPI:1134014715
Name:DAVID TRAYNOR BDS PC, DBA BEACON DENTAL
Entity type:Organization
Organization Name:DAVID TRAYNOR BDS PC, DBA BEACON DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:TRAYNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-424-9671
Mailing Address - Street 1:7200 DAN HOEY RD STE D
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-4201
Mailing Address - Country:US
Mailing Address - Phone:734-424-9671
Mailing Address - Fax:
Practice Address - Street 1:7200 DAN HOEY RD STE D
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-4201
Practice Address - Country:US
Practice Address - Phone:734-424-9671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental