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Dr. Beau Lyndon Broussard, DMD
General Practice Dentistry in Crossville, Tennessee
NPI 1720764442

Beau Lyndon Broussard is a General Practice Dentistry based in Crossville, TN and is specialized in General Practice. Beau Lyndon Broussard practices in Crossville, TN and has the professional credentials of DMD. The NPI Number for Beau Lyndon Broussard is 1720764442 and holds a License No. 12203 (Tennessee).

The current practice location address for Beau Lyndon Broussard is 2623 Highway 70 E, Crossville, TN and can be reached out via phone at 931-484-9495.

Location: 2623 Highway 70 E, Crossville, TN, 38555-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720764442
Provider Name
Beau Lyndon Broussard
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2623 Highway 70 E, Crossville, TN, 38555-2808
Phone Number
931-484-9495
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2623 Highway 70 E
City
Crossville
State
Tennessee
Zip
38555-2808
Phone Number
931-484-9495
Fax Number
person
Provider Business Mailing Address Details
Address
2623 Highway 70 E
City
Crossville
State
Tennessee
Zip
38555-2808
Phone Number
931-484-9495
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12203 (Tennessee)
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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