Individual
STANLEY RAY BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2620 COLLEGE AVE, JACKSON, AL 36545-2469
(251) 246-3385
(251) 246-5347
Mailing address
2620 COLLEGE AVE, JACKSON, AL 36545-2469
(251) 246-3385
(251) 246-5347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4281
AL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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