| Beavers Family Dentistry | |
|
644 Main St Clinton AR 72031-6602 | |
| (501) 745-8811 | |
| Not Available |
| Full Name | Beavers Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 644 Main St, Clinton, Arkansas |
| Authorized Official Name and Position | James V Beavers (GENERAL DENTIST) |
| Authorized Official Contact | 5017458811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beavers Family Dentistry 644 Main St Clinton AR 72031-6602 Ph: (501) 745-8811 | Beavers Family Dentistry 644 Main St Clinton AR 72031-6602 Ph: (501) 745-8811 |
| NPI Number | 1942401666 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 01/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942401666 | NPI | - | NPPES |
| 143573608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3357 (Arkansas) | Primary |
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