Provider Demographics
NPI:1407969504
Name:BEYERS, DAVID ANTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTON
Last Name:BEYERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NASA PARKWAY
Mailing Address - Street 2:#106
Mailing Address - City:NASSAU BAY HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058
Mailing Address - Country:US
Mailing Address - Phone:281-333-3617
Mailing Address - Fax:281-333-5335
Practice Address - Street 1:1100 NASA PARKWAY
Practice Address - Street 2:#106
Practice Address - City:NASSAU BAY HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:281-333-3617
Practice Address - Fax:281-333-5335
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice