Individual
DR. KRISTEN MELISSA BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
890 E 116TH ST, 210, CARMEL, IN 46032-3475
(317) 575-8993
(317) 575-8987
Mailing address
890 E 116TH ST, 210, CARMEL, IN 46032-3475
(317) 575-8993
(317) 575-8987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010891A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200836270A
—
IN
Enumeration date
03/21/2007
Last updated
08/25/2015
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