Nicolette Beatenbough, DDS
Individual provider Active NPI General Practice Dentistry · Zebulon, GA
NPI 1992613129 · NPPES record last updated Aug 29, 2026
Key facts
- NPI
- 1992613129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN124371 (GA)
- Practice address
- 417 Plaza Dr
Zebulon, GA 30295-6794 - Phone
- (770) 227-9693
- NPI assigned
- Aug 29, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN124371 | GA | Yes |
Addresses
Primary practice location
417 Plaza Dr
Zebulon, GA 30295-6794
Mailing address
417 Plaza Dr
Zebulon, GA 30295-6794
Phone (770) 227-9693
Other providers in Zebulon, GA
- Billie Jean Adams
- Alicia Lashae Almon
- Atlanta Vamc
- Esther Esguerra Bernal
- Kylee Marie Boggs
- Brain and Body Connections, LLC
- Heather Michele Hall Caney
- City Pharmacy of Zebulon PC
All providers in Zebulon, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.