Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Beau Upshaw, DMD

Individual provider General Practice Dentistry · NPI 1578976098

Dr. Beau Upshaw, DMD is a General Practice Dentistry in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3238 Krisam Creek Dr
Loganville, GA 30052-7942
Phone: (770) 466-0474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN014781 (GA)

Record details

NPI number1578976098
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESOctober 28, 2014
Mailing address3238 Krisam Creek Dr, Loganville, GA 30052-7942

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