KARYL JEAN BEAUCHAMP (NPI# 1528082682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528082682 |
Entity Type | Individual |
Full Name | KARYL JEAN BEAUCHAMP |
Credential | DDS |
Practice Address |
2297 Rudolphtown Rd Clarksville TN 37043 |
Practice Telephone | 9312453333 |
Practice Fax Number | 9312453334 |
Mailing Telephone | 9312453333 |
Mailing Fax Number | 9312453334 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2010-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5403 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | TENNCARE PROV. LOCATION | 6121 | 01 |
TN | UNITED CONCORDIA PROVIDER | 823192 | 01 |
TN | BCBS OF TN PROVIDER NUMBE | 00160078 | 01 |
Street Address |
2297 RUDOLPHTOWN RD |
City | CLARKSVILLE |
State | TN |
Zip Code | 37043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194045617 | Clarksville Pediatric Dentistry, PC | Dentist | 2297 Rudolphtown Rd, Clarksville, TN 37043-2226 | 2010-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
Find all providers in zip 37043 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629399647 | Kevin Chambliss Kennedy Jr. | Dentist | 590 Fire Station Rd Ste C, Clarksville, TN 37043-4016 | 2010-06-14 |
1568692242 | Andrew Joseph Vaughn | Dentist | 495 Dunlop Ln Ste 112, Clarksville, TN 37040-5296 | 2009-07-16 |
1922122324 | Joseph A Fleck Dds Psc | Dentist | 412 Hale Road, Clarksville, IN 47129-1422 | 2007-03-19 |
1962560631 | Crystal Gilreath Rucker | Dentist | 2622 Madison St Ste G, Clarksville, TN 37043-6555 | 2006-12-05 |
1629173513 | Joseph A Fleck | Dentist | 412 Hale Rd, Clarksville, IN 47129-1422 | 2006-09-14 |
1942292370 | David R Cheatham | Dentist | 1754 Madison St, Suite 4, Clarksville, TN 37043-2923 | 2005-08-22 |
1912999772 | Robert Michael Weaver | Dentist | 271 Stonecrossing Dr, Clarksville, TN 37042-8404 | 2005-08-18 |
1265424022 | Lary W. Deeds | Dentist | 271 Stonecrossing Dr Ste B, Clarksville, TN 37042-8404 | 2005-08-18 |
1538679097 | Sango Smiles Pediatric Dentistry | Dentist | 2622 Madison St Ste G, Clarksville, TN 37043-6555 | 2017-10-10 |
1972919868 | Latasha Michelle Garrett | Dentist | 495 Dunlop Ln Ste 112, Clarksville, TN 37040 | 2014-07-11 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 37043 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.