Beechwood Dental Center, PC
Dentist, General Practice in Clarksville, IN. Organization (NPI-2).
NPI number1255445995
StatusActive
Last updated in NPPESMar 25, 2016
Details
- NPI
- 1255445995
- Entity type
- Organization (NPI-2)
- Legal business name
- Beechwood Dental Center, PC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Mar 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12008699 | IN | Yes |
Practice location
639 Eastern Blvd Ste BClarksville, IN 47129-2460
Phone 812-282-1773 · Fax 812-282-1791
Mailing address
639 Eastern Blvd Ste BClarksville, IN 47129-2460
Phone 812-282-1773 · Fax 812-282-1791
Authorized official
James Kevin Harper
Member
8122821773
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