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Dr. Beau John Brasseale, DDS,MSD
Endodontist in Bowling Green, Kentucky
NPI 1689836439

Beau John Brasseale is a Endodontist based in Bowling Green, KY and is specialized in Endodontics. Beau John Brasseale practices in Bowling Green, KY and has the professional credentials of DDS,MSD. The NPI Number for Beau John Brasseale is 1689836439 and holds a License No. 12011193A (Kentucky).

The current practice location address for Beau John Brasseale is 901 Wilkinson Trce, Bowling Green, KY and can be reached out via phone at 270-904-4404.

Location: 901 Wilkinson Trce, Bowling Green, KY, 42103-2483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689836439
Provider Name
Beau John Brasseale
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Male
Address
901 Wilkinson Trce, Bowling Green, KY, 42103-2483
Phone Number
270-904-4404
Fax Number
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 Wilkinson Trce
City
Bowling Green
State
Kentucky
Zip
42103-2483
Phone Number
270-904-4404
Fax Number
person
Provider Business Mailing Address Details
Address
901 Wilkinson Trce
City
Bowling Green
State
Kentucky
Zip
42103-2483
Phone Number
270-904-4404
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
9102 (Kentucky)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12011193A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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