Individual
DR. MARY JAY BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
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
1223G0001X
General Practice Dentistry
12011042
IN
1223G0001X
General Practice Dentistry
Primary
8496
KY
Other
Enumeration date
06/11/2007
Last updated
11/17/2022
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