| Beam Family Dentistry | |
|
12907 Factory Ln Ste B Louisville KY 40245-5433 | |
| (502) 206-2460 | |
| Not Available |
| Full Name | Beam Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12907 Factory Ln Ste B, Louisville, Kentucky |
| Authorized Official Name and Position | Mary Jay Beam (OWNER/DENTIST) |
| Authorized Official Contact | 5022062460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beam Family Dentistry 12907 Factory Ln Ste B Louisville KY 40245-5433 Ph: (502) 206-2460 | Beam Family Dentistry 12907 Factory Ln Ste B Louisville KY 40245-5433 Ph: (502) 206-2460 |
| NPI Number | 1063133932 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063133932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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