# BARNES & BEAVERS FAMILY DENTISTRY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023251972
- **Authorized official:** DR. CHARLES BEAVERS RUNNELS BEAVERS D.D.S. (PRESIDENT)
- **Authorized official phone:** (405) 682-9557

## Contact information

- **Practice address:** 6050 S MAY AVE, OKLAHOMA CITY, OK 73159-1402
- **Practice address phone:** (405) 682-9557
- **Mailing address:** 6050 S MAY AVE, OKLAHOMA CITY, OK 73159-1402
- **Mailing address phone:** (405) 682-9557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4453 | OK | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/08/2009