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Dr. Charles Macdonald Beavers, D.D.S.

Dentist, Endodontics in Greensboro, NC. Individual provider (NPI-1).

NPI number1689964892
StatusActive
Last updated in NPPESApr 11, 2016

Details

NPI
1689964892
Entity type
Individual (NPI-1)
Name
Dr. Charles Macdonald Beavers
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2011
Last updated
Apr 11, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
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
1223E0200X Dentist, Endodontics09835NCYes

Practice location

2600 Oakcrest Ave Ste B
Greensboro, NC 27408-1935

Phone 336-282-9886 · Fax 336-282-9780

Mailing address

2600 Oakcrest Ave Ste B
Greensboro, NC 27408-1935

Phone 336-282-9886 · Fax 336-282-9780

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Other Endodontics providers in Greensboro, NC

All 19 Endodontics providers in Greensboro · All 11,475 providers in Greensboro

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