Individual
DR. BRADLEY MILES BEISIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1509 CONGRESS PKWY S, ATHENS, TN 37303-2803
(423) 381-6199
Mailing address
1361 BLAKE STONE DR NW, CLEVELAND, TN 37312-1870
(802) 355-4849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11794
TN
1223G0001X
General Practice Dentistry
105079
CA
Other
Enumeration date
08/02/2020
Last updated
04/24/2024
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