Edward Lee Beavers, DDS

General Practice Dentistry · Tullahoma, TN

Individual Active NPI

NPI number 1194933028

Practice location

603 NW Atlantic St
Tullahoma, TN 37388-3536
Phone
(931) 455-3501

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NPI record

NPI
1194933028
Entity type
Individual (Type 1)
Enumeration date
May 21, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3926 TN

About Dr. Beavers

Edward Lee Beavers, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 603 NW Atlantic St, Tullahoma, TN 37388-3536. The NPI number 1194933028 was assigned on May 21, 2007 and the record was last updated on July 8, 2007.

Dr. Beavers lists a license in the registry: #3926 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward Lee Beavers, DDS?

The NPI number is 1194933028.

What is the phone number of Dr. Beavers?

The phone number listed for the practice location is (931) 455-3501.

Where is Dr. Beavers located?

603 NW Atlantic St, Tullahoma, TN 37388-3536.

What is the taxonomy code for Dr. Beavers?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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