| Kenneth E. Beard, Dds,pc | |
|
415 25th St Nw Cleveland TN 37311-3892 | |
| (423) 476-6541 | |
| (423) 472-7719 |
| Full Name | Kenneth E. Beard, Dds,pc |
|---|---|
| Speciality | Dentist |
| Location | 415 25th St Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Kenneth E Beard (PRESIDENT) |
| Authorized Official Contact | 4234766541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E. Beard, Dds,pc 415 25th St Nw Cleveland TN 37311-3892 Ph: (423) 476-6541 | Kenneth E. Beard, Dds,pc 415 25th St Nw Cleveland TN 37311-3892 Ph: (423) 476-6541 |
| NPI Number | 1003160599 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003160599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2223 (Tennessee) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |
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