Individual
JAY R BEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3003 E 98TH ST STE 200, INDIANAPOLIS, IN 46280-1973
(317) 843-1281
(317) 574-9390
Mailing address
3003 E 98TH ST STE 200, INDIANAPOLIS, IN 46280-1973
(317) 843-1281
(317) 574-9390
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12008366A
IN
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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