Harold J Bean Jr DDS PC

NPI #1801909270 in O Fallon, Illinois

Provider Information

NPI Number: 1801909270
Entity Type: Organization
Organization Name: Harold J Bean Jr DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 17, 2006
Last Updated: Jun 18, 2008

Practice Location

Address: 1002 E WESLEY DR
Address 2: SUITE 200
City: O Fallon
State: Illinois
ZIP Code: 62269-6136
Phone: (618) 628-7080

Authorized Official

Name: DR. HAROLD J BEAN, D.D.S.
Title: OWNER
Phone: (618) 628-7080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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