MEDICARE: DAVID R. BEAM AND ASSOCIATES,LTD

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	1223G0001X	General Practice Dentistry	0401006513	VA

General Provider Information

NPI Number	:	1144235946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID R. BEAM AND ASSOCIATES,LTD

Provider Business Mailing Address
First Line	:	11601 IRON BRIDGE RD
Second Line	:	SUITE 204
City	:	CHESTER
State	:	VA
Zip	:	23831-1466
Country	:	US
Telephone Number	:	804-717-5100
Fax Number	:	804-717-5100

Provider Business Practice Location Address
First Line	:	11601 IRON BRIDGE RD
Second Line	:	SUITE 204
City	:	CHESTER
State	:	VA
Zip	:	23831-1466
Country	:	US
Telephone Number	:	804-717-5100
Fax Number	:	804-717-5100

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID R BEAM
Credential	:	D.D.S.
Telephone Number	:	804-717-5100

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	08/22/2020

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