Individual
DR. BEAU BOLDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1300 HATCHER LN STE 1, COLUMBIA, TN 38401-3554
(931) 388-2279
(931) 223-5567
Mailing address
1300 HATCHER LN STE 1, COLUMBIA, TN 38401-3554
(931) 388-2279
(931) 223-5567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11954
TN
1223G0001X
General Practice Dentistry
4294-22
MS
1223G0001X
General Practice Dentistry
62214
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2022
Last updated
08/12/2025
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