Organization
JACQUELINE M. BEARD, DMD, INC
Active
Other names
Solon Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE M. BEARD DMD (PEDIATRIC DENTIST/PRESIDENT)
(440) 223-8767
Entity
Organization
Contact information
Practice address
34501 AURORA RD, SUITE 305, SOLON, OH 44139-3873
(440) 528-1399
Mailing address
35401 AURORA ROAD, SUITE 305, SOLON, OH 44139-3808
(440) 528-1399
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30.023827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078308
—
OH
01
—
1063700789
INDIVIDUAL NPI
OH
Enumeration date
04/14/2016
Last updated
04/14/2016
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