Individual
DR. JAY P BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
401 HOFFMAN DR STE C, HENDERSON, KY 42420-3390
(270) 827-1263
Mailing address
PO BOX 277, HENDERSON, KY 42419-0277
(270) 827-1263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4987
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60049871
—
KY
Enumeration date
01/26/2007
Last updated
09/29/2015
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