Individual
JOEL J BEAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1817 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3546
(203) 333-0050
Mailing address
1817 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3546
(203) 333-0050
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4310
CT
Other
Enumeration date
01/17/2009
Last updated
01/17/2009
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