DR. Beau Upshaw, D.M.D. is a general practice dentist in Loganville, GA. The provider is 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. DR. Beau Upshaw, D.M.D. NPI is 1578976098. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3238 KRISAM CREEK DR
LOGANVILLE, GA
ZIP 30052-942
Phone: (770) 466-0474
The NPI 1578976098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/3/2014 and was last updated on 10/28/2014.