JACQUELINE M. BEARD DMD INC NPI 1619321734

NPI Information

NPI: 1619321734
Provider Name: JACQUELINE M. BEARD, DMD, INC

Other Name: SOLON PEDIATRIC DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
34501 AURORA RD
SUITE 305
SOLON, OH
ZIP 44139
Phone: (440) 528-1399
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JACQUELINE M. BEARD, DMD, INC is a dental clinic center in Solon, OH. JACQUELINE M. BEARD, DMD, INC NPI is 1619321734. The provider is registered as an organization entity type.
The provider Other Name Is Solon Pediatric Dentistry.

The provider's business location address is:

34501 AURORA RD
SUITE 305
SOLON, OH
ZIP 44139-873
Phone: (440) 528-1399

The provider's authorized official is Jacqueline M. Beard .
The authorized official title is Pediatric Dentist/president and has the following contact phone number (440) 223-8767.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 4/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	30.023827	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1063700789	OTHER	OHIO	INDIVIDUAL NPI
2	0078308	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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