Organization
BEEBE FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W BEAVERS DDS (OWNER)
(501) 882-5491
Entity
Organization
Contact information
Practice address
102 N MAIN ST, BEEBE, AR 72012-3046
(501) 882-5491
(501) 882-5271
Mailing address
102 N MAIN ST, BEEBE, AR 72012-3046
(501) 882-5491
(501) 882-5271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3214
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156165631
—
AR
Enumeration date
05/21/2008
Last updated
05/21/2008
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