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DR. DANIEL TILMON BEENE DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1548397029
Individual Registrant:DR. DANIEL TILMON BEENE DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
615 N JACKSON ST MAGNOLIA, AR 71753-2462 US
Tel: 870-234-1110 Fax: 870-234-1112
Tel: 870-234-1110 Fax: 870-234-1112
Contact information for business:
PO BOX 1133 615 N. JACKSON ST. MAGNOLIA, AR 71754-1133 US
Tel: 870-234-1110 Fax: 870-234-1112
Tel: 870-234-1110 Fax: 870-234-1112
Registration Information:
NPI: 1548397029
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AR | 3485 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
