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BEAVER DENTAL ASSOCIATES, LLC
NPI 1205064771
Clinic/Center - Dental in Beaver, PA

Active since June 23, 2009
244 COLLEGE AVE, BEAVER, PA 15009(724) 774-1361(724) 774-1932 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beaver Dental Associates, Llc NPPES

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

BEAVER DENTAL ASSOCIATES, LLC (NPI 1205064771) is a healthcare organization registered as a dental in Beaver, Pennsylvania and active in the NPI registry since June 2009. The organization lists Jacqueline A Ingram, Owner, as its authorized official.

NPPES Registry Identity

NPI1205064771
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBEAVER DENTAL ASSOCIATES, LLC
Location Address244 COLLEGE AVEBeaver, PA 15009-2706
Mailing Address244 College AveBeaver, PA 15009-2706 · (724) 774-1361 · Fax (724) 774-1932
Phone(724) 774-1361
Fax(724) 774-1932
Organization SubpartNo
Authorized OfficialJacqueline A IngramOwner · (724) 774-1361
Enumeration DateJune 23, 2009
✔ NPI 1205064771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
244 COLLEGE AVE, Beaver, PA 15009
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Other Providers at the Same Location NPPES 3

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

MRS. JACQUELINE A INGRAM
Clinic/Center (Dental)
244 COLLEGE AVE
BEAVER, PA 15009
Beaver County (724) 774-1361
DR. AMY RUSINOSKI DMD
Dentist (Pediatric Dentistry)
244 COLLEGE AVE
BEAVER, PA 15009
Beaver County (724) 888-2684
DENTISTRY FOR KIDS
Dentist (Pediatric Dentistry)
244 COLLEGE AVE
BEAVER, PA 15009
Beaver County (724) 888-2684

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 Beaver Dental Associates, LLC's NPI number?

The NPI number for Beaver Dental Associates, LLC is 1205064771. It was assigned to this organization in the NPPES registry on June 23, 2009.

Where is Beaver Dental Associates, LLC located?

Beaver Dental Associates, LLC is located at 244 College Ave, Beaver, PA 15009. The listed phone number is (724) 774-1361.

What is Beaver Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Beaver Dental Associates, LLC was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.