Beard, Avery Brooke
Beard, Avery Brooke is an individual health care provider with primary practice located at 13121 E 21St St N Ste 107 , Wichita KS 67230-7403. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Beard, Avery Brooke can be contacted via phone (316) 630-9500.Contact Information
Primary practice address
13121 E 21St St N Ste 107
Wichita KS 67230-7403
Phone: (316) 630-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 62661 | Kansas |
Profile Details
| NPI number | 1043871445 |
|---|---|
| LBN Legal business name | Beard, Avery Brooke |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2019 |
| Last updated | Jun 26th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043871445 | NPPES |
| Kansas | Other | 62661 | DENTAL LICENSE |
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