Individual provider · Type 1 NPI

Edward Lee Beavers, DDS

General Practice Dentistry · Tullahoma, TN

NPI number 1194933028 Active

About NPI 1194933028

Edward Lee Beavers, DDS's National Provider Identifier is 1194933028, issued on May 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tullahoma, TN. The record was last updated on Jul 8, 2007.