Organization
BEAM ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN EDWARD BEAM D.D.S., M.S. (OWNER)
(083) 548-4400
Entity
Organization
Contact information
Practice address
936 MARKET ST, SUITE 206, FORT MILL, SC 29708-6562
(803) 548-4400
(803) 548-4414
Mailing address
936 MARKET ST, SUITE 206, FORT MILL, SC 29708-6562
(803) 548-4400
(803) 548-4414
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7144
SC
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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