Organization
CLARKSVILLE PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARYL JEAN BEAUCHAMP DDS (PRESIDENT)
(931) 245-3333
Entity
Organization
Contact information
Practice address
2297 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2226
(931) 245-3333
(931) 245-3334
Mailing address
2297 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043-2226
(931) 245-3333
(931) 245-3334
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160078
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
112051
TENNCARE LOCATION NUMBER
TN
01
—
823192
UNITED CONCORDIA
TN
Enumeration date
06/07/2010
Last updated
06/08/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up