Dr. Benjamin Beachy, DMD
Dentist in Fort Campbell, KY. Individual provider (NPI-1).
NPI number1124856554
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1124856554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Beachy
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 11180 | KY | Yes |
Practice location
5580 Desert Storm AveFort Campbell, KY 42223-5586
Phone 270-798-6362
Mailing address
496 Ayden LnClarksville, TN 37042-2887
Phone 937-613-6030
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