Provider Demographics
NPI:1275103236
Name:BEAMER, RACHEL LYON (DMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LYON
Last Name:BEAMER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 CAMBRIA DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0124
Mailing Address - Country:US
Mailing Address - Phone:919-437-1703
Mailing Address - Fax:
Practice Address - Street 1:328 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-2715
Practice Address - Country:US
Practice Address - Phone:617-860-3632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12282122300000X
MADN1859929122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist