JAMIE BEAVERS DDS, P.A. (NPI# 1740898584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740898584 |
| Entity Type | Organization |
| Organization Name | JAMIE BEAVERS DDS, P.A. |
| Practice Address |
354 Main Street Clinton AR 72031 |
| Practice Telephone | 5012530648 |
| Mailing Telephone | 5012530648 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | JAMES VERL BEAVERS JR. (PRESIDENT) |
| Authorized Official Telephone | 5012530648 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
354 MAIN STREET |
| City | CLINTON |
| State | AR |
| Zip Code | 72031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| 1780836999 | Audrey Emberton | Case Manager/Care Coordinator | 1303 Hwy 65 S, Suite 3, Clinton, AR 72031 | 2008-10-21 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1508386616 | Blaire Alford | Dentist | 380 Highway 80 E Ste A, Clinton, MS 39056-4748 | 2017-06-21 |
| 1811427677 | Total You Family Dentistry | Dentist | 9135 Piscataway Rd Ste 105, Clinton, MD 20735-2548 | 2017-06-14 |
| 1114386802 | Christopher A Fallago | Dentist | 8 E Main St Ste 202, Clinton, CT 06413-2058 | 2016-02-23 |
| 1245636174 | Rick Canty | Dentist | 201a S Washington St, Clinton, KY 42031-1440 | 2014-11-04 |
| 1962830349 | Drs. Roh, Park and Hwang, LLC | Dentist | 7700 Old Branch Ave Ste E102, Clinton, MD 20735-1628 | 2013-10-23 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1346504230 | Paul N Singh | Dentist | 8913 Woodyard Rd, Clinton, MD 20735-4257 | 2012-06-26 |
| 1497040489 | Beautiful Smiles, L.L.C. | Dentist | 9001 Stuart Ln, Clinton, MD 20735-2744 | 2011-06-17 |
| 1578867115 | Medical Arts Dental Group of Clinton P.a. | Dentist | 315 Morrison Dr, Clinton, MS 39056-5239 | 2010-12-22 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.