Individual
DR. BEVERLY D HEDGEPETH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1111 KNOXVILLE HIGHWAY, WARTBURG, TN 37887
(423) 346-6272
(423) 346-2349
Mailing address
353 BUCK LAKE ROAD, COOKEVILLE, TN 38506
(931) 537-3637
(931) 526-1630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3933
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8024
TENNCARE
TN
Enumeration date
12/06/2005
Last updated
07/08/2007
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