Beavers, Wayne M
Beavers, Wayne M is an individual health care provider with primary practice located at 1146 Executive Cir , Cary NC 27511-4526. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Beavers, Wayne M can be contacted via phone (919) 467-0654.Contact Information
Primary practice address
1146 Executive Cir
Cary NC 27511-4526
Phone: (919) 467-0654
Fax: (919) 467-2520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3643 | North Carolina |
Profile Details
| NPI number | 1811047848 |
|---|---|
| LBN Legal business name | Beavers, Wayne M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Apr 6th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811047848 | NPPES |
| North Carolina | MEDICAID | 8990553 |
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