Individual
MR. JAMES VERL BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
354 MAIN ST, CLINTON, AR 72031-7059
(501) 745-7711
(501) 745-5095
Mailing address
354 MAIN ST, CLINTON, AR 72031-7059
(501) 745-7711
(501) 745-5095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3357
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710860830
TAX NUMBER
AR
Enumeration date
06/22/2006
Last updated
06/28/2023
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