IndividualActive
Avery Beall Jr, DDS
NPI 1306948781 · General Practice Dentistry · Lagrange, GA
Provider details
- NPI number
- 1306948781
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN008325 (GA)
Specialties & taxonomies
Dental Providers
Practice location
106 Corporate Plaza Dr
Lagrange, GA 30241-2883
Phone: (706) 882-2597
Fax: (706) 882-0836
Approximate (ZIP-level) locationGet directions
Mailing address
418 Pineview Ter
Lagrange, GA 30240-2130
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.