| Beech Lake Pediatric Dentistry, Plc | |
|
10855 Highway 412 W Lexington TN 38351-6283 | |
| (731) 968-5437 | |
| (731) 968-5439 |
| Full Name | Beech Lake Pediatric Dentistry, Plc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10855 Highway 412 W, Lexington, Tennessee |
| Authorized Official Name and Position | Tommy Burke (OWNER/DENTIST) |
| Authorized Official Contact | 7319685437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beech Lake Pediatric Dentistry, Plc 10855 Highway 412 W Po Box 556 Lexington TN 38351-6283 Ph: (731) 968-5437 | Beech Lake Pediatric Dentistry, Plc 10855 Highway 412 W Lexington TN 38351-6283 Ph: (731) 968-5437 |
| NPI Number | 1275893406 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275893406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D8508 (Tennessee) | Primary |
Page Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Lexington Plaza, Lexington, TN 38351 Phone: 731-968-7743 | |
Lexington Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Lexington Plz, Lexington, TN 38351 Phone: 731-968-7433 Fax: 731-968-2500 |