Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 7320 | IN |
NPI | 1083831275 |
---|---|
Provider Name | Dr. David C Beams |
First Address | Auburn, IN 46706-2661 |
Second Address | Auburn, IN 46706-2661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U09014 | (02) | IN |