# BEAVER BROTHERS DENTISTRY, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Beaver Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346810389
- **Authorized official:** AARON BEAVER DDS (CO-OWNER)
- **Authorized official phone:** (405) 664-4473

## Contact information

- **Practice address:** 103 INDUSTRIAL RD, CHECOTAH, OK 74426
- **Practice address phone:** (539) 226-0018
- **Mailing address:** 115245 S 4189 RD, CHECOTAH, OK 74426-4474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2021
- **Last updated:** 07/01/2021