Provider Demographics
NPI:1407062656
Name:MELANIE A BEAM DDS PC
Entity Type:Organization
Organization Name:MELANIE A BEAM DDS PC
Other - Org Name:AKRON DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:574-598-2910
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:IN
Mailing Address - Zip Code:46910-0808
Mailing Address - Country:US
Mailing Address - Phone:574-598-2910
Mailing Address - Fax:574-598-2911
Practice Address - Street 1:101 N MISHAWAKA ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:IN
Practice Address - Zip Code:46910-0808
Practice Address - Country:US
Practice Address - Phone:574-598-2910
Practice Address - Fax:574-598-2911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010742A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty