Organization
JAMIE BEAVERS DDS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VERL BEAVERS JR. D.D.S. (PRESIDENT)
(501) 253-0648
Entity
Organization
Contact information
Practice address
354 MAIN STREET, CLINTON, AR 72031
(501) 253-0648
Mailing address
354 MAIN STREET, CLINTON, AR 72031
(501) 253-0648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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