Individual provider · Type 1 NPI
Nathan Keil Beavers, DMD
Pediatric Dentistry · Madison, MS
NPI number
1790849404
Active
Practice location
312 Fountains Dr
Madison, MS 39110-6384
Fax (601) 856-5552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | PEDO-377-04 (MS) |
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
About NPI 1790849404
Nathan Keil Beavers, DMD's National Provider Identifier is 1790849404, issued on Dec 20, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Madison, MS. The record was last updated on Oct 7, 2025.