Individual
DR. TED A. BEAZLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
318 NORTHCREEK BLVD, SUITE 400, GOODLETTSVILLE, TN 37072-1934
(615) 239-4000
(615) 239-4004
Mailing address
318 NORTHCREEK BLVD, SUITE 400, GOODLETTSVILLE, TN 37072-1934
(615) 239-4000
(615) 239-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004638
TN
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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