Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHAN KEIL BEAVERS, D.M.D.
Active Sole ProprietorDR. NATHAN KEIL BEAVERS, D.M.D. is a Pediatric Dentistry healthcare provider located in MADISON, Mississippi. NPI 1790849404 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MADISON, MS
Registration Details
- NPI Number
- 1790849404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2006 (19.621123360108 yrs)
- Last Updated
- Oct 7, 2025
- License
-
PEDO-377-04 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
312 FOUNTAINS DRMADISON, MS, 391106384Browse MS providers · Browse ZIP 39110
- Phone
- 6018565313
- Fax
- 6018565552
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in MADISON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. GAYLE WATTERS | DMD | 1265571491 |
| DR. AMY GRAHAM JONES | D.M.D. | 1649474875 |
| ANNE MARIE CURRIE HREISH | — | 1194465781 |
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.