# BEAM DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255045399
- **Authorized official:** DR. SHUHAD SHAMBILLE DDS (DENTIST)
- **Authorized official phone:** (918) 605-2603

## Contact information

- **Practice address:** 1144 N 38TH ST, BROKEN ARROW, OK 74014-1312
- **Practice address phone:** (918) 994-0028
- **Practice address fax:** (918) 994-0908
- **Mailing address:** 1144 N 38TH ST, BROKEN ARROW, OK 74014-1312
- **Mailing address phone:** (918) 994-0028
- **Mailing address fax:** (918) 994-0908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2023
- **Last updated:** 11/17/2025
