Benjamin Beeson
Dentist in Suwanee, GA. Individual provider (NPI-1).
NPI number1689026031
StatusActive
Last updated in NPPESJul 13, 2016
Details
- NPI
- 1689026031
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Beeson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2016
- Last updated
- Jul 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN015224 | GA | Yes |
Practice location
4330 Johns Creek PkwySuite 100
Suwanee, GA 30024-6120
Phone 720-268-3499
Mailing address
4330 Johns Creek PkwySuite 100
Suwanee, GA 30024-6120
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