Active NPIIndividual providerSole proprietor

Amanda Beamon

Dentist, Pediatric Dentistry in Waterbury, Connecticut

NPI Number1306605993
Practice location
1141 Wolcott St, Waterbury, CT 06705-1318
Fax
—
Last updated
September 22, 2026

Amanda Beamon is a Dentist, Pediatric Dentistry based in Waterbury, CT. Amanda Beamon practices in Waterbury, CT. The NPI Number for Amanda Beamon is 1306605993 and holds a License No. 14710 (CT). The current practice location address for Amanda Beamon is 1141 Wolcott St, Waterbury, CT 06705-1318 and can be reached out via phone at 475-559-7908.

Provider Profile Details

NPI Number
1306605993
Provider Name
Amanda Beamon
Provider Entity Type
Individual
Gender
Female
Address
1141 Wolcott St, Waterbury, CT 06705-1318
Phone Number
475-559-7908
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2024
Last Update Date
September 22, 2026
Certification Date
September 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1141 Wolcott St
Waterbury, CT 06705-1318
Zip
06705-1318
Phone Number
475-559-7908
Waterbury, CT 06705Get directions →

Provider Business Mailing Address Details

Address
1141 Wolcott St
Waterbury, CT 06705-1318
City
Waterbury
State
CT
Zip
06705-1318
Phone Number
475-559-7908
Fax Number
475-559-7941

License Information

License Number
14710
License State
CT
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Beamon?

The NPI number of Amanda Beamon is 1306605993. It was assigned on March 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Amanda Beamon?

Amanda Beamon is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 14710.

Where does Amanda Beamon practice?

The practice location is 1141 Wolcott St, Waterbury, CT 06705-1318. The office can be reached at 475-559-7908 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306605993 directly on the NPPES registry website.

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