Individual
DR. JARED DAVID BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5016 GRANDE DR STE 101, PENSACOLA, FL 32504-8991
(850) 696-0820
Mailing address
6958 NEBRASKA AVE, FORT LEONARD WOOD, MO 65473-1618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D.0005920
AL
1223E0200X
Endodontics
061706
NY
1223E0200X
Endodontics
2018029180
MO
1223E0200X
Endodontics
Primary
DN27683
FL
Other
Enumeration date
08/16/2012
Last updated
08/04/2023
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