Clarksville Pediatric Dentistry, Pc
LBN: Clarksville Pediatric Dentistry, Pc
Clarksville Pediatric Dentistry, Pc is an health care organization with primary practice located at 2297 Rudolphtown Rd , Clarksville TN 37043-2226. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Clarksville Pediatric Dentistry, Pc can be contacted via phone (931) 245-3333, or through Beauchamp, Karyl Jean via phone (931) 245-3333.
Contact Information
Primary practice address
2297 Rudolphtown Rd
Clarksville TN 37043-2226
Phone: (931) 245-3333
Fax: (931) 245-3334
Website:
Authorized official contact:
Name: Beauchamp, Karyl Jean Doctor of Dental Surgery (DDS)
Phone: (931) 245-3333
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1194045617 |
|---|---|
| LBN Legal business name | Clarksville Pediatric Dentistry, Pc |
| DBA Doing business as | |
| Authorized official | Beauchamp, Karyl Jean Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2010 |
| Last updated | Jun 8th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194045617 | NPPES |
| Tennessee | Other | 0160078 | BLUE CROSS BLUE SHIELD OF TN |
| Tennessee | Other | 823192 | BLUE CROSS BLUE SHIELD OF TN |
| Tennessee | Other | 112051 | BLUE CROSS BLUE SHIELD OF TN |
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