DR. JENNIFER LYNN BEAVIN D.M.D NPI 1568615292

NPI Information

NPI: 1568615292
Provider Name: DR. JENNIFER LYNN BEAVIN, D.M.D
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1976 DOUGLASS BLVD
LOUISVILLE, KY
ZIP 40205
Phone: (502) 454-7627
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DR. Jennifer Lynn Beavin, D.M.D is a general practice dentist in Louisville, KY. The provider is 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. DR. Jennifer Lynn Beavin, D.M.D NPI is 1568615292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1976 DOUGLASS BLVD
LOUISVILLE, KY
ZIP 40205-826
Phone: (502) 454-7627
Fax: (502) 384-8203

The enumeration date for this NPI number is 10/26/2008 and was last updated on 1/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DS0000008818	TENNESSEE	No
2	1223G0001X	Dentist	General Practice	12011286A	INDIANA	No
3	1223G0001X	Dentist	General Practice	8632	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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