Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BEAU UPSHAW, D.M.D.
ActiveDR. BEAU UPSHAW, D.M.D. is a General Dentistry healthcare provider located in LOGANVILLE, Georgia. NPI 1578976098 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LOGANVILLE, GA
Registration Details
- NPI Number
- 1578976098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2014 (12.212833195329 yrs)
- Last Updated
- Oct 28, 2014
- License
-
DN014781 (GA)
Practice Information
- Address
-
3238 KRISAM CREEK DRLOGANVILLE, GA, 300527942Browse GA providers · Browse ZIP 30052
- Phone
- 7704660474
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. PONNIE DAVIS POISAL | DMD | 1679577936 |
| DR. VICTOR A. KOEHLER | D.M.D. | 1558474304 |
| JUSTIN JAEWOONG SOL | — | 1144328923 |
| DR. BRIAN LEE SMITH | DMD | 1942397872 |
| DR. DAVID CARITHERS | D.D.S. | 1962555169 |
| DR. KEVIN F BLAIR | DDS | 1477695807 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.