| NPI | 1003138967 | 
|---|---|
| Doing Business As | BEAVERS PEDIATRIC DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | NATHAN BEAVERS Dentist 601-856-5313 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry | 
| Enumeration Date | 2010-02-19 | 
| Last Update Date | 2025-10-14 |