KARYL JEAN BEAUCHAMP


Address: 2297 Rudolphtown Rd, Clarksville, TN 37043
Phone: 9312453333

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
5403 TN Dental Providers

Other Provider Identifier

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

Office Location

Street Address 2297 RUDOLPHTOWN RD
City CLARKSVILLE
State TN
Zip Code 37043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194045617 Clarksville Pediatric Dentistry, PC Dentist 2297 Rudolphtown Rd, Clarksville, TN 37043-2226 2010-06-07

Providers in the same zip code

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 Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City CLARKSVILLE
Zip Code 37043

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Dataset Information

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.

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