Individual
DR. KYLE JEFFREY BEULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
739 PRESIDENT PL, SMYRNA, TN 37167-6844
(402) 968-2007
Mailing address
2946 PRIMROSE CIR, NASHVILLE, TN 37212-6016
(402) 968-2007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
RES.3338
OH
1223P0221X
Pediatric Dentistry
Primary
DS0000010263
TN
390200000X
Student in an Organized Health Care Education/Training Program
30413
IA
Other
Enumeration date
07/01/2013
Last updated
08/17/2016
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