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Individual

KARYL JEAN BEAUCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2297 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043
(931) 245-3333
(931) 245-3334
Mailing address
2297 RUDOLPHTOWN RD, CLARKSVILLE, TN 37043
(931) 245-3333
(931) 245-3334

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5403
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00160078
BCBS OF TN PROVIDER NUMBE
TN
01
6121
TENNCARE PROV. LOCATION
TN
01
823192
UNITED CONCORDIA PROVIDER
TN
Enumeration date
07/26/2006
Last updated
06/07/2010
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