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NPI Code Detail

MEDICARE: DAVID C BEAMS DDS PC

MEDICARE: DAVID C BEAMS DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)7320IN

General Provider Information

NPI Number : 1174633978
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID C BEAMS DDS PC
Provider Business Mailing Address
First Line : 1348 SOUTH GRANDSTAFF DRIVE
Second Line :
City : AUBURN
State : IN
Zip : 46706-1262
Country : US
Telephone Number : 260-925-6094
Fax Number : 260-925-0159
Provider Business Practice Location Address
First Line : 1348 SOUTH GRANDSTAFF DRIVE
Second Line :
City : AUBURN
State : IN
Zip : 46706-1262
Country : US
Telephone Number : 260-925-6094
Fax Number : 260-925-0159
Authorized Official
Title or Position : FINANCIAL MANAGER
Name : MRS. HEATHER L PEDERSEN
Credential :
Telephone Number : 260-925-6094
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/22/2020

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