Nathan K. Beavers Dmd Pllc is a Pediatric Dental Clinic in Madison, Mississippi. It is located at 312 Fountains Drive, Madison, MS and its contact number is 601-856-5313. The authorized person for Nathan K. Beavers Dmd Pllc is Dr. Nathan Beavers
who is Owner / Dentist of the clinic and their contact number is 601-856-5313. The primary license number for Nathan K. Beavers Dmd Pllc is PEDO 377-04 (Pediatric Dentistry) in Mississippi. Nathan K. Beavers Dmd Pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Nathan K. Beavers Dmd Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Nathan K. Beavers Dmd Pllc
Specialization:
Pediatric Dentistry
Clinic Address:
312 Fountains Drive, Madison, Mississippi, 39110
Phone:
601-856-5313
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Nathan Beavers
Position:
Owner / Dentist
Contact Number:
601-856-5313
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Nathan K. Beavers Dmd Pllc clinic are as mentioned below.
NPI Number:
1003138967
NPI Enumeration Date:
19 Feb, 2010
NPI Last Update On:
19 Oct, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nathan K. Beavers Dmd Pllc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
PEDO 377-04
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
05382775
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Nathan K. Beavers Dmd Pllc 119 Colony Crossing Way, Suite 740 Madison, Mississippi
Zip:
39110-6322
Phone Number:
601-856-5313
Patients can reach Nathan K. Beavers Dmd Pllc at 312 Fountains Drive, Madison, Mississippi or can call to book an appointment on 601-856-5313. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.