Individual
DR. DANIEL J BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.A.
Contact information
Practice address
105 WEST PARK AVE, LINCOLN, AR 72744-0488
(479) 824-3247
(479) 824-3100
Mailing address
PO BOX 488, 105 WEST PARK STREET, LINCOLN, AR 72744-0488
(479) 824-3247
(479) 824-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2378
AR
Other
Enumeration date
12/04/2006
Last updated
07/09/2007
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