Organization · Type 2 NPI

Nathan K. Beavers DMD PLLC

Pediatric Dentistry · Madison, MS

NPI number 1003138967 Active

Practice location

312 Fountains Dr
Madison, MS 39110-6384

Fax (601) 856-5552

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: 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.

2 other providers at this address

Other pediatric dentistry providers in Madison

Madison Pediatric Dental Group, PLLCPediatric Dentistry Madison, MS NPI 1669795241

See all in Madison →

NPI record

NPI: 1003138967
Entity type: Organization (Type 2)
Issued: Feb 19, 2010
Last updated: Nov 25, 2025
Status: Active

Other names

<unavail>
Beavers Pediatric Dentistry · doing business as
Beavers Pediatric Dentistry · doing business as

Authorized official

Anne Marie Currie Hreish, DDS
Dentist
(601) 856-5313

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003138967

Nathan K. Beavers DMD PLLC's National Provider Identifier is 1003138967, issued on Feb 19, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Madison, MS. The record was last updated on Nov 25, 2025.