Doctor profile · Federal record
Dr. Nathan Beavers, D.M.D.
Pediatric Dentist · Madison, MS
- NPI 1790849404
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
312 Fountains Dr
Madison, MS 391106384
(601) 856-5313
fax (601) 856-5552
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- October 7, 2025
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- Mississippi #PEDO-377-04
- Medicaid
- MS #08101262
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790849404. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Solventum Corporation | 1 | $16.30 |
By nature of payment
Frequently asked questions
What is Dr. Nathan Beavers's medical specialty?
Dr. Nathan Beavers practices Pediatric Dentist in Madison, MS.
Where does Dr. Nathan Beavers practice?
Dr. Nathan Beavers practices at 312 Fountains Dr, Madison, MS 391106384. Office phone: 6018565313.
What is Dr. Nathan Beavers's NPI?
Dr. Nathan Beavers's National Provider Identifier (NPI) is 1790849404, issued by NPPES.