Provider Demographics
NPI:1710086889
Name:BEAM, DARYL K (DDS)
Entity Type:Individual
Prefix:
First Name:DARYL
Middle Name:K
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 1:301 W 13TH
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601
Mailing Address - Country:US
Mailing Address - Phone:785-628-6733
Mailing Address - Fax:785-628-8737
Practice Address - Street 1:301 W 13TH
Practice Address - Street 2:SUITE 400
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-628-6733
Practice Address - Fax:785-628-8737
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS58441223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics