Individual
KARYL JEAN BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
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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