NPI 1003138967

Nathan K. Beavers DMD PLLC

Organisation Pediatric Dentistry Madison, MS

Practice location

Address: 312 Fountains Dr, Madison, MS 39110-6384
Phone: (601) 856-5313
Fax: (601) 856-5552

Authorised official

Name: Anne Marie Currie Hreish
Title: Dentist
Phone: (601) 856-5313

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X

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Registry record

NPI: 1003138967
Entity type: Organization
NPI issued: 19 Feb 2010
Record last updated: 25 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.