DR. Jackson A Bean, D.D.S.

NPI #1861610545 in Greenville, Texas

Provider Information

NPI Number: 1861610545
Entity Type: Individual
Name: DR. Jackson A Bean, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 20, 2007
Last Updated: Mar 11, 2013

Practice Location

Address: 2704 AILEEN BLVD
City: Greenville
State: Texas
ZIP Code: 75402-6486
Phone: (903) 454-6661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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