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Organization

BEAM TEAM DENTAL

Active
Other names
Fairchance Dental Arts
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CALEB S BEAM DDS (MEMBER)
(304) 619-4522
Entity
Organization

Contact information

Practice address
5 N MORGANTOWN ST, FAIRCHANCE, PA 15436-1180
(304) 619-4522
Mailing address
5 N MORGANTOWN ST, FAIRCHANCE, PA 15436-1180
(304) 619-4522

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427465467
NPI NUMBER
PA
01
1467861765
NPI NUMBER
PA
Enumeration date
01/24/2023
Last updated
01/24/2023
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