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Contact Information

BRANDON E BEAVER, DDS
2915 WESTSIDE DR
DURANT, OK74701-2028
 Phone: 580-924-1234
 Fax: 580-920-2082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BRANDON E BEAVER · (Male)

NPI # 1598790495
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/11/2006
Last updated 07/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 5597
  • OK Medicaid 200045860A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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