Beverly D Hedgepeth, DDS
Individual provider Active NPI Dentist · Wartburg, TN
NPI 1831173475 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1831173475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS3933 (TN)
- Practice address
- 1111 Knoxville Highway
Wartburg, TN 37887 - Phone
- (423) 346-6272
- Fax
- (423) 346-2349
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS3933 | TN | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS3933 | TN | Yes |
Addresses
Primary practice location
1111 Knoxville Highway
Wartburg, TN 37887
Mailing address
353 Buck Lake Road
Cookeville, TN 38506
Phone (931) 537-3637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8024 | Other | TN | TENNCARE |
Other providers in Wartburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.