Edward Lee Beavers, DDS

NPI #1194933028 in Tullahoma, Tennessee

Provider Information

NPI Number
1194933028
Entity Type
Individual
Name
Edward Lee Beavers, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
603 NW ATLANTIC ST
ZIP Code
37388-3536
Phone
(931) 455-3501

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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