Organization
BEAM FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JAY BEAM DMD (OWNER/DENTIST)
(502) 206-2460
Entity
Organization
Contact information
Practice address
12907 FACTORY LN STE B, LOUISVILLE, KY 40245-5433
(502) 206-2460
Mailing address
12907 FACTORY LN STE B, LOUISVILLE, KY 40245-5433
(502) 206-2460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
11/17/2022
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