NATHAN K. BEAVERS DMD PLLC NPI 1003138967

NPI Information

  • NPI: 1003138967
  • Provider Name: NATHAN K. BEAVERS DMD PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • :
  • Address: 312 FOUNTAINS DR
    MADISON, MS
    ZIP 39110
  • Phone: (601) 856-5313

Map and Directions

Get Directions

NPI Details

NATHAN K. BEAVERS DMD PLLC is a pediatric dentistry dentist in Madison, MS. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NATHAN K. BEAVERS DMD PLLC NPI is 1003138967. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

312 FOUNTAINS DR
MADISON, MS
ZIP 39110-384
Phone: (601) 856-5313
Fax: (601) 856-5552

The provider's authorized official is Anne Marie Currie Hreish .
The authorized official title is Dentist and has the following contact phone number (601) 856-5313.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 11/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.