Beech Lake Pediatric Dentistry, PLC
Organization Active NPI Pediatric Dentistry · Lexington, TN
NPI 1275893406 · NPPES record last updated May 22, 2012
Key facts
- NPI
- 1275893406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- D8508 (TN)
- Legal business name
- BEECH LAKE PEDIATRIC DENTISTRY, PLC
- Practice address
- 10855 Highway 412 W
Lexington, TN 38351-6283 - Phone
- (731) 968-5437
- Fax
- (731) 968-5439
- NPI assigned
- May 22, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Tommy Burke, DDS
- Title
- Owner/Dentist
- Phone
- (731) 968-5437
Practitioners 1
-
Tommy Christopher Burke, D.D.S.
National Provider Directory
Locations
10855 Highway 412 W
Lexington, TN 38351
Phone (731) 968-5437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | D8508 | TN | Yes |
Addresses
Primary practice location
10855 Highway 412 W
Lexington, TN 38351-6283
Mailing address
10855 Highway 412 W
PO Box 556
Lexington, TN 38351-6283
Phone (731) 968-5437
Other providers in Lexington, TN
- Jordan Barber
- Angela Gateley Bartel
- Brandy Bartholomew
- Sarah Bawcum
- Hailey Beckham
- Beechlake Emergency Physicians
- Sheila Parker Benson
- Benwood Inpatient Services, PLLC
- Casey Beecham Blair
- Nancy Carol Blair
All providers in Lexington, TN · Pediatric Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.