Provider Demographics
NPI:1467861765
Name:BEAM, CALEB SETH (DDS)
Entity Type:Individual
Prefix:MR
First Name:CALEB
Middle Name:SETH
Last Name:BEAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 N MORGANTOWN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRCHANCE
Mailing Address - State:PA
Mailing Address - Zip Code:15436
Mailing Address - Country:US
Mailing Address - Phone:724-564-9010
Mailing Address - Fax:
Practice Address - Street 1:5 N MORGANTOWN ST
Practice Address - Street 2:
Practice Address - City:FAIRCHANCE
Practice Address - State:PA
Practice Address - Zip Code:15436
Practice Address - Country:US
Practice Address - Phone:724-564-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.3493122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist