Organization
BEAVERS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES V BEAVERS DDS (GENERAL DENTIST)
(501) 745-8811
Entity
Organization
Contact information
Practice address
644 MAIN ST, CLINTON, AR 72031-6602
(501) 745-8811
Mailing address
644 MAIN ST, CLINTON, AR 72031-6602
(501) 745-8811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3357
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143573608
—
AR
Enumeration date
05/30/2007
Last updated
01/21/2009
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