Brandon E Beaver DDS PC

Dentist · Durant, OK

Organization Active NPI

NPI number 1174741474

Practice location

2915 Westside Drive
Durant, OK 74701-2028
Phone
(580) 924-1234
Fax
(580) 920-2082

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NPI record

NPI
1174741474
Entity type
Organization (Type 2)
Enumeration date
April 23, 2007
Last updated
June 16, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 5597 OK
Dentist 122300000X 3469 OK

Authorized official

Name
Tiffany L Langley
Title
Office Manager
Phone
(580) 924-1234

Other names

  • Westside Family Dentistry

About Brandon E Beaver DDS PC

Brandon E Beaver DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2915 Westside Drive, Durant, OK 74701-2028. The NPI number 1174741474 was assigned on April 23, 2007 and the record was last updated on June 16, 2015.

Brandon E Beaver DDS PC lists 2 licenses in the registry: #5597 (OK) for Dentist; #3469 (OK) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Tiffany L Langley, Office Manager.

Frequently asked questions

What is the NPI number of Brandon E Beaver DDS PC?

The NPI number is 1174741474.

What is the phone number of Brandon E Beaver DDS PC?

The phone number listed for the practice location is (580) 924-1234.

Where is Brandon E Beaver DDS PC located?

2915 Westside Drive, Durant, OK 74701-2028.

What is the taxonomy code for Brandon E Beaver DDS PC?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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