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Nathan K. Beavers Dmd PLLC

Dentist, Pediatric Dentistry in Madison, MS. Organization (NPI-2).

NPI number1003138967
StatusActive
Last updated in NPPESNov 25, 2025

Details

NPI
1003138967
Entity type
Organization (NPI-2)
Legal business name
Nathan K. Beavers Dmd PLLC
Organization subpart
No
Enumeration date
Feb 19, 2010
Certification date
Nov 25, 2025
Last updated
Nov 25, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes

Other names

  • Beavers Pediatric Dentistry (Doing Business As)

Practice location

312 Fountains Dr
Madison, MS 39110-6384

Phone 601-856-5313 · Fax 601-856-5552

Mailing address

312 Fountains Dr
Madison, MS 39110-6384

Phone 601-856-5313 · Fax 601-856-5552

Authorized official

Anne Marie Currie Hreish
Dentist
6018565313

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Dentistry providers in Madison, MS

All 6 Pediatric Dentistry providers in Madison · All 868 providers in Madison

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