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Nathan K. Beavers Dmd Pllc
Pediatric Dentist in Madison, Mississippi
NPI 1003138967

Nathan K. Beavers Dmd Pllc is a Pediatric Dentist based in Madison, MS and is specialized in Pediatric Dentistry. Nathan K. Beavers Dmd Pllc practices in Madison, MS. The NPI Number for Nathan K. Beavers Dmd Pllc is 1003138967 and holds a License No. PEDO 377-04 (Mississippi).

The current practice location address for Nathan K. Beavers Dmd Pllc is 312 Fountains Drive, Madison, MS and can be reached out via phone at 601-856-5313. You can also correspond with Nathan K. Beavers Dmd Pllc through the mailing address at 119 COLONY CROSSING WAY, MADISON, MS - 39110-6322 (mailing address contact number: 601-856-5313).

Location: 312 Fountains Drive, Madison, MS, 39110-6322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003138967
Provider Name
Nathan K. Beavers Dmd Pllc
Credential
Provider Entity Type
Organization
Address
312 Fountains Drive, Madison, MS, 39110-6322
Phone Number
601-856-5313
Fax Number
Provider Enumeration Date
02/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05382775 05 MS
institution
Provider Business Practice Location Address Details
Address
312 Fountains Drive
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-856-5313
Fax Number
person
Provider Business Mailing Address Details
Address
312 Fountains Drive
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-856-5313
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
PEDO 377-04 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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