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Deactivated NPI 1750433694 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Dwain Beamon , DDS

Dentist - General Practice • Tarboro, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Beamon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2007
NPI Deactivation Date February 06, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Beamon, DDS was a registered Dentist - General Practice practicing in Tarboro, NC. Throughout an active medical career spanning 18 years, Dr. Beamon provided care at the practice location at 801 WESTERN BLVD until profile deactivation on 2025-02-06.

Practice Location & Contact Primary Location

Practice Address

801 Western Blvd

Tarboro, NC 278864014

Telephone 2528235739
Fax 2528232753

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tarboro, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Tarboro, NC (4047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 3768

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1629493440

Registered Dental Hygienist, BSDH, Bachelor of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 06, 2025

Record deactivated on February 06, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 801 WESTERN BLVD, TARBORO, NC 278864014 (Tel: 2528235739)

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Updated Business Mailing Address July 08, 2007

Registered at 801 WESTERN BLVD, TARBORO, NC 278864014 (Tel: 2528235739)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH BEAMON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3768 in NC)

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Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750433694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Deactivation Date: February 06, 2025

Mailing Address

801 Western Blvd

Tarboro, NC 278864014

Phone: 2528235739

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.