Ollie Logan Beard IV, DDS

NPI #1992233779 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1992233779
Entity Type: Individual
Name: Ollie Logan Beard IV, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 24, 2017
Last Updated: May 24, 2017

Practice Location

Address: 610 E 24TH ST
City: Tishomingo
State: Oklahoma
ZIP Code: 73460-3245
Phone: (580) 371-2343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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