MEDICARE: DR. NATHAN EDWARD BEAM D.D.S.

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
1	122300000X	Dentist	3875	WV
2	1223E0200X	Endodontics	7144	SC
3	1223E0200X	Endodontics	9190	NC

General Provider Information

NPI Number	:	1104054550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN EDWARD BEAM D.D.S.

Provider Business Mailing Address
First Line	:	936 MARKET ST
Second Line	:	SUITE 206
City	:	FORT MILL
State	:	SC
Zip	:	29708-6562
Country	:	US
Telephone Number	:	803-548-4400
Fax Number	:	803-548-4414

Provider Business Practice Location Address
First Line	:	936 MARKET ST
Second Line	:	SUITE 206
City	:	FORT MILL
State	:	SC
Zip	:	29708-6562
Country	:	US
Telephone Number	:	803-548-4400
Fax Number	:	803-548-4414

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	01/22/2013

Similar Medicare Providers

1922431600 — BEAM ENDODONTICS
Practice Location Address:

936 MARKET ST , SUITE 206
FORT MILL, SC
29708-6562

Practice Phone: 803-548-4400
Practice Fax: 803-548-4414

1013729672 — DR. CURTIS CRISWELL DC
Practice Location Address:

936 MARKET ST # 205-2
FORT MILL, SC
29708-6562

Practice Phone: 513-255-6863
Practice Fax:

1588686521 — EXCEPTIONAL HOME CARE
Practice Location Address:

2817 STARK ST STE A
FORT WORTH, TX
76112-6562

Practice Phone: 817-457-8324
Practice Fax:

1154343291 — KASS INC
Practice Location Address:

2817 STARK ST , SUITE D
FORT WORTH, TX
76112-6562

Practice Phone: 817-451-6413
Practice Fax: 817-451-1673

1265446009 — KASS INC
Practice Location Address:

2817 STARK ST
FORT WORTH, TX
76112-6562

Practice Phone: 817-451-9413
Practice Fax:

1144430661 — KASS INC.
Practice Location Address:

2817 STARK ST
FORT WORTH, TX
76112-6562

Practice Phone: 817-451-6413
Practice Fax:

Directions to “ DR. NATHAN EDWARD BEAM D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.