Jeffery Paul Beeler, D.D.S
Individual provider Active NPI Dentist · Lenoir City, TN
NPI 1417263161 · NPPES record last updated Oct 19, 2015
Key facts
- NPI
- 1417263161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9211 (TN)
- Practice address
- 875 Highway 321 N
Suite 200
Lenoir City, TN 37771-7397 - Phone
- (865) 816-6327
- NPI assigned
- Aug 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 26, 2019 through Nov 26, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9211 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town Creek Family Dentistry | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9211 | TN | Yes |
Addresses
Primary practice location
875 Highway 321 N
Suite 200
Lenoir City, TN 37771-7397
Mailing address
410 Moser LN
Knoxville, TN 37934-4043
Phone (901) 262-4965
Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.