PHILLIP D. BEAVER, DDS, PA
NPI 1013230887
Dentist - General Practice in Statesville, NC

Active since March 09, 2010
1209 DAVIE AVE, STATESVILLE, NC 28677(704) 872-8934 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip D. Beaver, Dds, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP D. BEAVER, DDS, PA (NPI 1013230887) is a healthcare organization registered as a general practice in Statesville, North Carolina and active in the NPI registry since March 2010. The organization lists Phillip Daniel Beaver, President, as its authorized official.

NPPES Registry Identity

NPI1013230887
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHILLIP D. BEAVER, DDS, PA
Location Address1209 DAVIE AVEStatesville, NC 28677-3511
Mailing Address1209 Davie AveStatesville, NC 28677-3511 · (704) 872-8934
Organization SubpartNo
Authorized OfficialPhillip Daniel BeaverPresident · (704) 872-8934
Enumeration DateMarch 9, 2010
NPI 1013230887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 8056
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1209 DAVIE AVE, Statesville, NC 28677

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1209 DAVIE AVE
STATESVILLE, NC 28677
Dentist (General Practice)
1209 DAVIE AVE
STATESVILLE, NC 28677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip D. Beaver, Dds, PA's NPI number?

The NPI number for Phillip D. Beaver, Dds, PA is 1013230887. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Phillip D. Beaver, Dds, PA located?

Phillip D. Beaver, Dds, PA is located at 1209 Davie Ave, Statesville, NC 28677. The listed phone number is (704) 872-8934.

What is Phillip D. Beaver, Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Phillip D. Beaver, Dds, PA was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.